[Senate Hearing 118-727]
[From the U.S. Government Publishing Office]


                                                        S. Hrg. 118-727

                 THE FUTURE OF BROADBAND AFFORDABILITY

=======================================================================

                                HEARING

                               BEFORE THE

                 SUBCOMMITTEE ON COMMUNICATIONS, MEDIA,
                             AND BROADBAND

                                 OF THE

                         COMMITTEE ON COMMERCE,
                      SCIENCE, AND TRANSPORTATION
                          UNITED STATES SENATE

                    ONE HUNDRED EIGHTEENTH CONGRESS

                             SECOND SESSION

                               __________

                              MAY 2, 2024

                               __________

    Printed for the use of the Committee on Commerce, Science, and 
                             Transportation


                Available online: http://www.govinfo.gov
                
                                __________

                   U.S. GOVERNMENT PUBLISHING OFFICE                    
61-850 PDF                  WASHINGTON : 2025                  
          
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       SENATE COMMITTEE ON COMMERCE, SCIENCE, AND TRANSPORTATION

                    ONE HUNDRED EIGHTEENTH CONGRESS

                             SECOND SESSION

                   MARIA CANTWELL, Washington, Chair
AMY KLOBUCHAR, Minnesota             TED CRUZ, Texas, Ranking
BRIAN SCHATZ, Hawaii                 JOHN THUNE, South Dakota
EDWARD MARKEY, Massachusetts         ROGER WICKER, Mississippi
GARY PETERS, Michigan                DEB FISCHER, Nebraska
TAMMY BALDWIN, Wisconsin             JERRY MORAN, Kansas
TAMMY DUCKWORTH, Illinois            DAN SULLIVAN, Alaska
JON TESTER, Montana                  MARSHA BLACKBURN, Tennessee
KYRSTEN SINEMA, Arizona              TODD YOUNG, Indiana
JACKY ROSEN, Nevada                  TED BUDD, North Carolina
BEN RAY LUJAN, New Mexico            ERIC SCHMITT, Missouri
JOHN HICKENLOOPER, Colorado          J. D. VANCE, Ohio
RAPHAEL WARNOCK, Georgia             SHELLEY MOORE CAPITO, West 
PETER WELCH, Vermont                     Virginia
                                     CYNTHIA LUMMIS, Wyoming
                   Lila Harper Helms, Staff Director
                 Melissa Porter, Deputy Staff Director
                     Jonathan Hale, General Counsel
                 Brad Grantz, Republican Staff Director
           Nicole Christus, Republican Deputy Staff Director
                     Liam McKenna, General Counsel
                                 ------                                

          SUBCOMMITTEE ON COMMUNICATIONS, MEDIA, AND BROADBAND

BEN RAY LUJAN, New Mexico, Chair     JOHN THUNE, South Dakota, Ranking
AMY KLOBUCHAR, Minnesota             ROGER WICKER, Mississippi
BRIAN SCHATZ, Hawaii                 DEB FISCHER, Nebraska
EDWARD MARKEY, Massachusetts         JERRY MORAN, Kansas
GARY PETERS, Michigan                DAN SULLIVAN, Alaska
TAMMY BALDWIN, Wisconsin             MARSHA BLACKBURN, Tennessee
TAMMY DUCKWORTH, Illinois            TODD YOUNG, Indiana
JON TESTER, Montana                  TED BUDD, North Carolina
KYRSTEN SINEMA, Arizona              ERIC SCHMITT, Missouri
JACKY ROSEN, Nevada                  J. D. VANCE, Ohio
JOHN HICKENLOOPER, Colorado          SHELLEY MOORE CAPITO, West 
RAPHAEL WARNOCK, Georgia                 Virginia
PETER WELCH, Vermont                 CYNTHIA LUMMIS, Wyoming
                            
                            C O N T E N T S

                              ----------                              
                                                                   Page
Hearing held on May 2, 2024......................................     1
Statement of Senator Lujan.......................................     1
    Letter dated May 1, 2024 to Hon. Ben Ray Lujan and Hon. John 
      Thune from Jonathan Myles Laurier Cannon, Policy Counsel 
      Tech and Innovation, R Street Institute....................    58
    Prepared statements from various organizations supporting the 
      extension of the Affordable Connectivity Program (ACP).....    62
Statement of Senator Cruz........................................     3
Statement of Senator Thune.......................................     5
Statement of Senator Vance.......................................    32
Statement of Senator Klobuchar...................................    34
Statement of Senator Peters......................................    38
Statement of Senator Welch.......................................    40
Statement of Senator Capito......................................    41
Statement of Senator Warnock.....................................    43
Statement of Senator Tester......................................    47
Statement of Senator Markey......................................    49
Statement of Senator Rosen.......................................    51
    Letter dated April 26, 2024 to Hon. Mike Johnson, Hon. Chuck 
      Schumer, Hon. Hakeem Jeffries, Hon. Mitch McConnell, Hon. 
      Tom Cole, Hon. Patty Murray, Hon. Rosa DeLauro and Hon. 
      Susan Collins from Alliance of Community Health Plans, 
      Association for Community Affiliated Plans, Blue Cross Blue 
      Shield Association, Medicaid Health Plans of America, 
      National MLTSS Health Plan Association, and Special Needs 
      Plans Alliance.............................................    53
Statement of Senator Hickenlooper................................    56

                               Witnesses

Jennifer Case Nevarez, Director and Lead Educator, Community 
  Learning Network (CLN) and Member, Broadband and Digital Equity 
  Support Team, New Mexico and the Office of Broadband Access and 
  Expansion (OBAE)...............................................     7
    Prepared statement...........................................     9
Kathryn de Wit, Project Director, Broadband Access Initiative, 
  The Pew Charitable Trusts......................................    12
    Prepared statement...........................................    13
Blair Levin, Policy Advisor, New Street Research; Nonresident 
  Senior Fellow, Brookings Metro.................................    17
    Prepared statement...........................................    19
Paul Winfree, Ph.D., President and CEO, Economic Policy 
  Innovation Center..............................................    24
    Prepared statement...........................................    25

                                Appendix

    Letter dated May 2, 2024 to Hon. Ben Ray Lujan, Hon. John 
      Thune, Hon. Maria Cantwell and Hon. Ted Cruz from Gary 
      Bolton, President and CEO, Fiber Broadband Association.....    67
Response to written questions submitted to Kathryn de Wit by:
    Hon. Tammy Duckworth.........................................    68
    Hon. Ted Cruz................................................    69
Response to written questions submitted by Hon. Ted Cruz to:
    Blair Levin..................................................    71
    Paul Winfree, Ph.D...........................................    93

 
                 THE FUTURE OF BROADBAND AFFORDABILITY

                              ----------                              


                         WEDNESDAY, MAY 2, 2024

                               U.S. Senate,
            Subcommittee on Communications, Media, and Broadband,  
        Committee on Commerce, Science, and Transportation,
                                                    Washington, DC.
    The Subcommittee met, pursuant to notice, at 10 a.m., in 
room SR-253, Russell Senate Office Building. Hon. Ben Ray 
Lujan, presiding.
    Present: Senators Lujan [presiding], Klobuchar, Markey, 
Peters, Tester, Rosen, Hickenlooper, Warnock, Welch, Cruz, 
Thune, Young, Vance, and Capito.

           OPENING STATEMENT OF HON. BEN RAY LUJAN, 
                  U.S. SENATOR FROM NEW MEXICO

    Senator Lujan. And we'll come to order. Today this 
subcommittee is convening a hearing on the future of broadband 
affordability.
    So I want to thank our Ranking Member, Mr. Thune, as well 
as Chair Cantwell and Ranking Member Cruz for working with me 
to schedule this hearing on such an important topic.
    I want to start with a story from one of my constituents. 
Her name is Kelly, and she's from a small community by the name 
of Ranchos de Taos out in New Mexico. Now she reached out to my 
office last month about the importance of the Affordable 
Connectivity Program. And here's what she said, ``In my 
capacity as program manager for New Mexico Veterans up bound--
Upward Bound program at UNM Taos, my team and I serve veterans 
in eight northern New Mexico counties in some very rural areas. 
We are finding it more difficult to connect our Native veterans 
who may not even be aware of the benefits that they've earned, 
or are unable to apply for them since most communications is 
via the Internet. My team is working on that. Many live in 
extremely remote areas and only receive phone or Internet 
service when they go into the nearest town. That's not fair. 
They are no less deserving of veteran benefits than anyone 
else.''
    Now I want to emphasize that point, because it's why we're 
here today. The people who rely on the Affordable Connectivity 
Program to connect with health care providers, attend work or 
school, or access their benefits are no less deserving anywhere 
across America than anyone else.
    There are so many areas across the country where families 
have no options for high-quality broadband service. That's why 
we worked together to pass the Bipartisan Infrastructure Law, 
which included the Broadband Equity Access and Deployment, 
otherwise known as the BEAD Program, to build out broadband 
networks in regions of our country that have, until now, been 
left behind.
    But building the network isn't the end of the story. We 
have to make sure that people can afford to access it. That is 
why we created the Affordable Connectivity Program in a 
bipartisan way, to help low-income families afford Internet 
service by contributing a $30-per-month benefit. Right now 
there are over 23 million households participating in this 
program. That's more than 55 million people.
    But it's not only benefiting these individuals and 
families, it's benefiting their local communities as well. A 
study from the Benton Institute for Broadband and Society 
published last month found that every dollar that is put into 
ACP returns nearly two dollars in impact for the recipient of 
the benefit. It gives families access to better-paying jobs, to 
training and education, to create economic mobility, to better 
deals on groceries and household goods. It means stimulating 
our local economies.
    So the time is now to save this program. This last full 
month of funding for ACP, we saw the expiration just a few days 
ago.
    Now each household will only receive a partial benefit if 
Congress fails to act. That will be the end of the Affordable 
Connectivity Program. And--and mind you, all of these customers 
across America received notices back in January as well that 
this program was going away. Congress had a little bit of time 
to be able to fix things, to get this correct.
    But here's another one where Congress let the American 
people down. My colleagues and I have been working to find a 
solution to keep this program going. Thank you to Chair 
Cantwell, who has introduced legislation to restore the FCC's 
auction authority and use $7 billion in auction proceeds to 
keep this program alive.
    And thank you to Senator Welch and Senator Vance, who have 
introduced legislation to fund the program through the end of 
the year with appropriations. They're both strong proposals to 
temporarily fund the program and give Congress time to find a 
long-term solution so we don't face this cliff every 6 months 
or every year.
    Now the Universal Service Fund Working Group that I've been 
proud to be a part of and lead with Ranking Member Thune has 
been working on a long-term solution.
    Once we save this program in short term, I believe, I'm 
looking forward to bringing a solution to this committee that 
provides a permanent funding mechanism, modernizing programs, 
looking at what the out years will certainly look like here to 
earn bipartisan support in both chambers.
    And I'm very proud that this working group has had 
participation from members of the Senate, members of the House, 
and members of leadership. It has really been incredible to see 
how these thoughts and these ideas, and embracing some of those 
differences, actually shows where we agree on how to get this 
achieved. So I very much appreciate that.
    Now it would be a significant waste of government funds to 
let this program lapse. It would mean letting all the time and 
resources the Federal Government and our state and local 
partners have put into standing up the program and enrolling 23 
million households go to waste.
    I'm looking forward to hearing from our panel of witnesses 
who will provide clear evidence that we are on the brink of 
wasting significant Federal investments and causing real harm 
to our constituents. Each will share their perspective on the 
role that the Affordable Connectivity Program plays in our 
economy and in the lives of low-income families across the 
country.
    Now our panelists, we're going to hear from Ms. Jennifer 
Case Nevarez, who is the director and lead educator of 
Community Learning Network and member of the Broadband and 
Digital Equity Support Team for New Mexico and the Office of 
Broadband Access and Expansion. I'm proud that Ms. Nevarez has 
joined us this morning all the way from Santa Fe, New Mexico to 
share what she's seen on the ground, and the importance of ACP, 
and the consequences if we let it lapse.
    Ms. Kathryn de Wit, Project Director of the Broadband 
Access Initiative at the Pew Charitable Trust, who will speak 
to the economic importance of ACP to families across this 
country.
    Mr. Blair Levin, policy advisor at New Street Research and 
nonresident senior fellow at Brookings Metro, who will speak to 
the economic impact of a potential ACP lapse across our 
economy.
    And Dr. Paul Winfree, President and CEO of the Economic 
Policy Innovation Center, who Ranking Member Thune will 
introduce. Now I look forward to hearing from each of you.
    And I now want to recognize Ranking Member Thune for his 
opening statement.
    We're going to hear first from the Ranking Member of the 
Full Committee, Senator Cruz of Texas. Senator Cruz.

                  STATEMENT OF HON. TED CRUZ, 
                    U.S. SENATOR FROM TEXAS

    Senator Cruz. Thank you, Mr. Chairman. Thank you to Ranking 
Member Thune, and thank you to our witnesses today.
    The United States is the standard bearer for high-speed 
Internet connectivity. During the pandemic, American Internet 
providers significantly outperformed our more highly regulated 
European counterparts with faster and more competitive service.
    Yet this highly functioning industry is under relentless 
attack by the Biden administration. Despite being handed a 
generational opportunity to connect all Americans, this 
administration has made it clear they would prefer to assert 
government control of the Internet.
    This was epitomized by last week's FCC party-line vote to 
subject the broadband industry to an oppressive regulatory 
regime under the pretense of so-called net neutrality.
    This follows the FCC's digital equity power grab late last 
year in which the agency asserted control over nearly every 
aspect of the broadband business, and opened providers to 
expansive, indeterminate, and crippling liability under a 
disparate impact standard.
    The Biden administration claims that it wants to improve 
broadband affordability for American families. But the FCC is 
sabotaging these goals. What happens when companies need to 
divert significant resources to--towards complying with woke 
Biden priorities over their customers? Prices go up, investment 
and innovation declines, and Americans suffer.
    And we know this from experience. When the Obama FCC 
imposed Title II on broadband, their first iteration of net 
neutrality in early 2015, capital expenditures fell by $500 
million that year, and by another $2.7 billion in 2016. That 
hurts American consumers across the country.
    We see similar trends in the Biden administration's 
mismanagement of Congress's massive broadband investments--over 
$125 billion in the last 4 years. The Biden NTIA has 
prioritized woke social policies, union mandates, tech biases, 
and price controls at the expense of delivering high-speed 
Internet to unserved Americans. The largest of these programs, 
a $42 billion broadband infrastructure program, is already 
being waylaid.
    Biden administration officials are withholding and delaying 
funding from states like Virginia, where Governor Youngkin's 
team is standing up to the coercive and lawless demands of the 
Biden administration.
    Likewise, the Affordable Connectivity Program is not 
working as Congress intended. To assist those for whom cost was 
the barrier to gaining Internet access, ACP, which gives a $30 
monthly subsidy for Internet service and $75 per month if 
you're on tribal lands, was given a record $14 billion budget. 
This was anticipated to last several years.
    But the FCC deliberately oversubscribed the program, 
blowing through the money in record time. We have heard from 
the White House and from Chairman Rosenworcel that this massive 
welfare program should be considered a success, because 23 
million households enrolled in it. But it turns out the vast 
majority of these people already had high-speed Internet.
    Here's an FCC survey showing that just 22 percent of the 
households receiving the taxpayer subsidy were previously 
unsubscribed to broadband. This means that for every household 
that didn't subscribe to premium Internet, the Federal 
Government is subsidizing four households that did.
    Beyond this massive inefficiency and waste, reports have 
also found, unsurprisingly, that the ACP has had inflationary 
effects on the price of Internet. One of our witnesses, Dr. 
Paul Winfree, analyzed the data and found that in places where 
ACP enrollment is the highest, we see higher prices.
    A less technical, but no less telling report from the 
National Review used archive records from the Internet to show 
that companies treat the $30 subsidy now as the new price 
floor. Companies that used to offer broadband plans for $10 or 
$15 a month now charge $30 for the same or marginally upgraded 
service.
    History has shown that when the Federal Government starts 
subsidizing demand--in higher education and agriculture, the 
subsidy gets capitalized, and prices go up. After all, why 
would corporations ever leave free money on the table?
    While those who receive the subsidy may realize an 
immediate cost reduction, the market prices rise for everybody 
else.
    This rising price creates a call for more subsidies and 
higher taxes to fund those additional higher subsidies, and 
eventually a government takeover of the Internet to provide it 
for free.
    To the extent there are truly indigent people who cannot 
afford connectivity, there is a program already designed for 
them. It's called Lifeline. If it's not working well, we should 
look to improve it, not to impose higher taxes on millions of 
hardworking Americans to cover the Internet bills of their 
neighbors who are already willing and able to pay for it 
themselves. I'm open to a discussion on these reforms.
    The road to broadband as a publicly regulated utility is 
not one Americans can afford. To ensure that all Americans can 
access and benefit from high-speed connectivity, the 
administration should reverse course, abandon toxic regulatory 
mandates, remove unnecessary barriers to investment, and ensure 
Federal broadband subsidies are working as Congress intended. 
An innovative and affordable broadband future can only be 
achieved if the Federal Government puts Americans' prosperity 
over its urge to assert regulatory control.
    Thank you.
    Senator Lujan. Thank you, Senator Cruz.
    I now recognize the Ranking Member of the Subcommittee, Mr. 
Thune, for his opening statement.

                 STATEMENT OF HON. JOHN THUNE, 
                 U.S. SENATOR FROM SOUTH DAKOTA

    Senator Thune. Thank you, Mr. Chairman, and I appreciate 
the opportunity to work with you on the working group. I think 
there are a number of areas in the Universal Service Fund 
programs that are--have been needed; oversight, and reform, and 
looking at ways that we can make those work more efficiently. 
And so I look forward to our continued efforts in that regard.
    And thank you for the--having the hearing this morning. 
Thank you to all our witnesses for being here.
    Let me start by saying that an Internet connection provides 
significant opportunities to run a business, provide health 
care, or do homework. And as a member who represents a rural 
state, I remain committed to the bipartisan principle of 
universal service and ensuring that Americans in all parts of 
the country have access to communication services comparable in 
quality and price to those in urban areas.
    Today, we are here to examine the state of broadband--
broadband affordability programs. The FCC has a long history 
with broadband affordability through its Lifeline program, as 
has been mentioned, which, despite existing for nearly 40 
years, has not been a broad success story. A carefully 
designed, properly administered broadband affordability program 
to help those Americans who, without a subsidy, would be unable 
to afford reasonable level of connectivity, is an important 
part of universal service.
    But unfortunately, the FCC's Lifeline program, which is 
currently part of the Universal Service Fund, has not lived up 
to this promise. The rampant waste, fraud, and abuse within the 
Lifeline program has been well documented over the years.
    Unfortunately, much like the FCC's Lifeline program, the 
Affordable Connectivity Program, or ACP, seems to be plagued 
with similar inefficiencies.
    ACP, what initially began as a program to help consumers 
stay connected during the pandemic, was expanded, as many 
government programs tend to be, into a much broader and much 
more expensive program. As it's currently designed, ACP does a 
poor job of directing support to those who truly need it, 
namely those who would not get service without a subsidy.
    With overly broad eligibility criteria, ACP allows over 40 
percent of American households to receive a subsidy. If all of 
the eligible households were enabled or I should say were 
enrolled into ACP, the program would cost the taxpayer over $19 
billion annually.
    The inefficiencies in both Lifeline and ACP are in large 
part a direct result of the FCC's failure to set performance 
goals and address the fundamental question of whether or not 
either of these programs are an effective means of increasing 
adoption among low-income consumers. Without performance goals, 
we have no evidence to support that ACP or Lifeline are 
effective in connecting non-subscribers to the Internet.
    The FCC's own survey, as Senator Cruz pointed out, 
indicates that at least--or I should say at best, about 22 
percent of the current ACP subscribers did not have an Internet 
connection prior to ACP. It is imperative that the FCC conduct 
such an analysis so that we can make informed decisions on the 
future broadband affordability programs for truly low-income 
Americans. And simply saying 23 million households will lose 
broadband if ACP does not receive new funding is not 
undertaking a fundamental analysis.
    The American people deserve better, and we need an honest 
assessment of how to best deliver services to those actually in 
need. To that end, I appreciate Senator Lujan's work leading 
the USF Working Group with me and other members of this 
committee to address the needs and shortfalls of the USF 
programs.
    We also must recognize the Federal Government will not 
solve the digital divide on its own.
    The United States' light regulatory--or light-touch 
regulatory approach to broadband policy has resulted in 
telecommunications providers in South Dakota and the rest of 
the country making network reliability, affordability, and 
resiliency a priority. During the pandemic, when demand for 
reliable Internet soared, U.S. broadband providers were able to 
keep Americans connected, which was not the case in other 
countries.
    And now as ACP winds down, I appreciate how the private 
sector is stepping up, turning to low-income programs they 
offered prior to ACP.
    The White House and some in Congress have called on 
companies to continue offering free service to consumers 
despite ACP dollars running out. This, of course, is akin to 
rate regulation and demonstrates that Democrats--what Democrats 
have wanted all along.
    The efforts to promote quality and affordable broadband are 
under attack by the Biden FCC. Just last week, the FCC once 
again asserted broad new government powers over the Internet, 
using rules that were designed for telephone monopolies back 
during the Great Depression. The last time these heavy-handed 
regulations were imposed, as Senator Cruz pointed out, 
broadband investment declined. And there's good reason to 
believe this will happen again.
    These new rules would also imperil the United States' 
position at the forefront of Internet innovation. Biden's FCC 
should be focused on addressing real challenges, such as 
reducing regulatory burdens and thus the cost for broadband, 
not searching for a problem where one doesn't exist.
    Before I close, I'd also like to add that I hope we can 
hear from the FCC directly about their broadband affordability 
programs and many other important issues. It's unacceptable 
that this committee has not held an oversight hearing of the 
FCC for over 1,400 days.
    I appreciate each of our witnesses for being here today and 
I look forward to the discussion. Thank you, Mr. Chairman.
    And Dr. Winfree is our fourth witness. He's President and 
CEO of Economic Policy Innovation Center. He's an economist, 
trusted policy--public policy advisor, and served in top 
management policy roles in the White House, the U.S. Senate, 
and in think tanks.
    So it's great to have you here along with the rest of our 
panel of witnesses. We look forward to hearing from you all. 
Thank you.
    Senator Lujan. Thank you very much, Mr. Thune. And before I 
recognize myself for five minutes of questions, I want to wish 
Peter Welch a happy birthday. So if everyone might be able to 
just give him a round of applause, please, and show our 
appreciation to Senator Welch.
    [Applause.]
    Senator Welch. He's a pretty nice guy, but I appreciate the 
embarrassment.
    Senator Lujan. Thank you, my friend.
    Senator Welch. Thank you, Ben Ray.
    Senator Lujan. So before I recognize myself for questions, 
I want to make sure that we hear from our distinguished panel 
as well.
    So Ms. Nevarez, you'll begin, and each of you will be 
recognized for five minutes as well. You'll be able to submit 
your full testimony into the record as well. Ms. Nevarez, 
you're recognized.

STATEMENT OF JENNIFER CASE NEVAREZ, DIRECTOR AND LEAD EDUCATOR, 
  COMMUNITY LEARNING NETWORK (CLN) AND MEMBER, BROADBAND AND 
   DIGITAL EQUITY SUPPORT TEAM, NEW MEXICO AND THE OFFICE OF 
                           BROADBAND 
                  ACCESS AND EXPANSION (OBAE)

    Ms. Nevarez. My name is Jennifer Nevarez. I live in Santa 
Fe, New Mexico.
    As Director of Community Learning Network, an educational 
non-profit dedicated to building stronger communities through 
real-life learning, and a member of the Broadband and Digital 
Equity Support Team for the New Mexico Office of Broadband, I 
have traversed the state, met with hundreds of constituents--
and I'm here today to share community concerns and to highlight 
the urgent need for Congress to act now to extend ACP before it 
lapses completely.
    Though many think the Internet is all about technology, it 
is actually about connecting people. A Dine' Navajo elder I 
work with who lives on a fixed income on a farm in rural New 
Mexico, with the end of ACP and broadband access and 
affordability out of reach for many rural residents, she and 
many others like her will go without Internet connectivity at 
home. And in her case, will do what she has done before to get 
online: drive 52 miles to check her e-mail at the public 
library.
    With the end of ACP, more than 23 million households are 
now at risk of losing their Internet connectivity. Nearly half 
are military families. And 10 million are over the age of 50, 
with seniors reporting that they rely heavily on the Internet 
to coordinate and track medical services, overcome isolation, 
and deal with the fact that they may no longer be able to 
drive. 320,000 are households on tribal lands, where high-speed 
Internet is generally more expensive. In New Mexico, more than 
184,000 households face losing their ability to pay bills, 
purchase goods, check health portals, run small businesses, and 
do work or schoolwork online.
    In Congressional District 2, 28 percent of all households 
are enrolled in ACP, so one of every four households are now at 
risk of losing connectivity. This is a terrible blow to the 
local economy, and a terrible setback for local families and 
the counties where they live. With families facing hard 
decisions about what to cut, finding an affordable alternative 
is not easy, especially in rural areas where there may only be 
one provider, where costs can be much higher, and where low-
cost options may be unreliable or inadequate for whole families 
working or learning from home.
    As the fifth-largest state and the sixth-lowest in 
population density, deploying fiber in New Mexico is extra 
costly. Subscriber pools are smaller and more scattered, and 
networks are difficult to maintain.
    For us in New Mexico, for our economy, for our health, for 
the well-being of our families, our communities, and our 
Internet service providers, every subscriber counts. 
Subscribers are especially critical for our small, tribal, and 
rural communities who have leveraged investments and built 
networks and companies to provide valuable Internet service in 
hard-to-reach areas where they are often the only option.
    These local providers often run on tight margins with 
higher expenses to serve low-density areas with lower-income 
customers. They are at a higher risk of bankruptcy without a 
reliable and consistent pool of active subscribers.
    Thanks to collaborative investment and ACP outreach, local 
networks and providers have been building relationships and 
trust while growing their customer base. The end of ACP now, 
after just over 2 years of getting going, and the loss of 
subscribers, puts the BEAD initiatives in jeopardy and some 
local networks at risk of failure, especially in areas that are 
most in need and serving some of the hardest-to-reach and 
traditionally undeserved, disconnected community members.
    We cannot overlook the massive investment and 
administrative burden of standing up ACP and coordinating more 
than 1,500 Internet service providers and 23 million 
subscribers through enrollment. To let ACP die now feels 
wasteful and irresponsible. To let it lapse feels short-sighted 
and irreverent of both its current success, 23 million 
subscribers in just over 2 years, and the massive investment of 
time, energy, and money by everyone.
    Right now, confusion abounds. Congress is losing 
credibility, and local service providers are losing customers 
and public trust.
    So what now? Are we really going to let 23 million 
households drop out of the Internet economy and disappear from 
the digital world? Mayors and Governors, both Republicans and 
Democrats, have publicly prioritized ACP and made it a part of 
their plan to close the digital divide. Affordable, reliable 
Internet is more than a bipartisan issue. It is a people issue 
with a real-world impact on health and wealth for Americans.
    Moreover, it is rare but inspiring when government, 
community, and industry align. So why align? As aptly noted by 
one of our leaders in the community, broadband is everybody's 
business. Broadband is an essential service for everyone.
    ACP was established and to address the critical needs to 
connect everyone, and 23 million enrollment was a monumental 
feat, and a success we should not waste. Meanwhile, ACP use is 
widespread and directly impacts our constituents. Urban, 
suburban, and rural communities rely on ACP to pay for the 
high-speed Internet service they need for school, work, health 
care, essential services, and more.
    Most importantly, we all lose when ACP ends. The end of ACP 
puts networks, local ISPs, and BEAD infrastructure investment 
at risk and erodes public trust. Since we just got started, 
quitting now would be a waste.
    In closing, I echo the understanding that people and places 
thrive when everyone can participate. Economies thrive when 
everyone can participate.
    So I ask everyone in this room, do you use a cell phone, 
computer, a laptop? Do you have Internet access right now? As 
we face the end of ACP, I would like you to join more than 23 
million households in an experiment. Turn off your devices and 
go without using Internet for the next 5 minutes, 5 hours, or 5 
days. Yes, give it a try while reflecting on how the rest of 
your day and life will be impacted.
    Let's let this sink in and then let's not let more than 23 
million households and families disappear from the digital 
economy. Congress has the power to act now to keep those 
constituents connected, and I am here to remind you today that 
the health and well-being of Americans, as well as the economic 
vitality and security of our nation, depend on it.
    [The prepared statement of Ms. Nevarez follows:]

    Prepared Statement of Jennifer Case Nevarez, Director and Lead 
 Educator, Community Learning Network (CLN) and Member, Broadband and 
  Digital Equity Support Team, New Mexico and the Office of Broadband 
                      Access and Expansion (OBAE)
    My name is Jennifer Case Nevarez. I live in Santa Fe, New Mexico, 
and serve as Director and Lead Educator for an educational nonprofit 
called the Community Learning Network (CLN), which is dedicated to 
``building stronger communities through real-life learning'' and 
grounded in the words of our Dine' (Navajo) co-founder who noted that 
``well-being is nourished by being accountable to a people and a 
place.'' Over the years, CLN has supported powerful real-life learning 
experiences for thousands of community members of all ages and worked 
to build resiliency with communities and tribes throughout the state 
and nation. As a member of the Broadband and Digital Equity Support 
Team for New Mexico and the Office of Broadband Access and Expansion 
(OBAE), I have traversed the state, met with hundreds of constituents, 
and been deeply involved in stakeholder engagement. I am here today to 
speak to broadband affordability, to share community concerns about the 
end of the Affordable Connectivity Program (ACP), and to highlight the 
need for Congress to take action now to extend ACP before it lapses 
completely and permanently.
    First, I would like to start with the reminder that many think the 
Internet is all about technology, but it is actually about connecting 
people. A Dine' (Navajo) elder I worked with lives on fixed income on a 
farm in rural New Mexico. With the end of ACP and broadband access and 
affordability out of reach for many rural residents, she, and many 
others like her, will go without Internet connectivity at home, and in 
her case, will do what she has done before to get online . . . drive 52 
miles to check her e-mail at the public library (but only once in a 
while, since gas is expensive, too).
    As of April 30, 2024, just two days ago, more than 23 million 
households are now at risk of losing their Internet connectivity with 
the end of ACP. Nearly half are military families and 10 million are 
over the age of 50 (with Seniors reporting that they rely heavily on 
the Internet to coordinate and track medical services and overcome 
isolation). 320,000 are households on Tribal lands, where high-speed 
Internet is generally more expensive.
    In New Mexico, more than 184,000 households enrolled in ACP face 
losing their Internet connectivity and their ability to pay bills, 
purchase goods, check health portals, access essential services, run 
small businesses, and do work or schoolwork online. In Congressional 
District 2, 28 percent of all households are enrolled in ACP, which 
means 1 out of every 4 households in the District are now at risk of 
losing connectivity. This is a terrible blow to the local economy and a 
terrible setback for local families and the counties where they live, 
already burdened by economic, community development, and infrastructure 
challenges and serving large numbers of residents struggling with 
higher household, transportation, utility, and healthcare expenses on 
fixed or lower incomes. With families facing hard decisions about what 
to cut, finding an affordable alternative is not easy, especially in 
rural areas where there may only be one provider, where costs can be 
much higher, and where low-cost options may be unreliable or inadequate 
for families working or learning from home.
    As the 5th largest state (with 121, 298 square miles) and the 6th 
lowest in population density (with an average density of 17 people per 
square mile) (The District of Columbia has the highest population 
density with 11,131 people per square mile), deploying fiber is New 
Mexico is extra costly, subscriber pools are smaller and more 
scattered, and networks are difficult to maintain and sustain due to 
lower density, higher cost of deployment and maintenance, and the 
financial vulnerability of subscribers.
    For us in New Mexico, . . . for our economy, for our health, and 
for the well-being of our families, our communities, and our Internet 
Service Providers, . . . every subscriber counts.
    Subscribers are especially critical for our small tribal and rural 
communities who have leveraged investments and built networks and 
companies to provide valuable Internet services in hard to reach areas 
where they are often the only option. (There are 23 Tribal Nations in 
New Mexico and many have started and run their own networks). These 
local providers often run on tight margins with higher expenses to 
serve low-density areas with lower-income customers. They are at a 
higher risk of bankruptcy without a reliable and consistent pool of 
active subscribers. Thanks to collaborative federal, state, local, and 
non-profit investment in ACP outreach, local networks and providers 
have been building relationships and trust while growing their customer 
base. Amidst the massive investment in broadband infrastructure 
currently underway, the end of ACP now, after just over two years of 
getting it going, and the loss of ACP subscribers puts the BEAD 
initiatives in jeopardy and some local networks at risk of failure, 
especially in areas that are most in need and serving some of the 
hardest to reach and traditionally underserved, disconnected community 
members.
    We cannot overlook the massive investment and administrative burden 
of standing up the ACP program and coordinating more than 1500 Internet 
Service Providers and 23 million subscribers through the application, 
documentation, approval, authorization, and enrollment process. To let 
ACP, and the systems in place to manage it, die now, in the wake of 
that investment and effort, feels wasteful and irresponsible. To let it 
lapse and have to build another system later feels short-sighted and 
irreverent of both its current success (23 million subscribers in just 
over 2 years) and the massive investment of time, energy, and money in 
ACP by everyone . . . including federal, state, and local agencies, as 
well as trusted community organizations.
    Right now, confusion abounds, and Congress is losing credibility. 
Local service providers are losing customers and public trust. 
Providers and partners are now also burdened by the additional expense 
and effort of alerting ACP subscribers to the changes, navigating 
public confusion, and managing service down-grades and terminations.
    So what now?
    When connectivity is critical for progress and a matter of national 
security and economic vitality, are we really going to let ACP end? Are 
we really going to let 23 million households potentially drop out of 
the Internet economy and disappear from the digital world?
    I urge Congress to act now and extend ACP. I urge congress to 
consider the creative funding possibilities currently proposed. 
Governors from across the country, both Republicans and Democrats, have 
publicly prioritized the Affordable Connectivity Program, and made it a 
part of their plans to close the digital divide. Affordable, reliable 
Internet is more than just a bi-partisan issue. It is a people issue 
with real world impacts on health and wealth for Americans. Moreover, 
it is rare but inspiring when you have government, community, and 
industry aligned. Numerous community and industry partners have stepped 
up to voice their concerns, and in January 2024, an initial 174 Mayors 
from around the U.S. signed a bipartisan letter calling for legislators 
to extend ACP.
    Why?
    As aptly noted by one of our local community leaders: Broadband is 
everybody's business. Broadband is an essential service for everyone 
and opens a world of possibilities.
    The ACP was established to address the critical need to connect 
everyone. 23 million enrollment was a monumental feat and success we 
should not waste. Proving eligibility and enrolling was complicated and 
time-consuming. Terminating now would be wasteful, the robust 
eligibility verification and enrollment work would be lost, and 
starting over would demand so much more time, energy, and money.
    Meanwhile, ACP use is widespread and directly impacts constituents. 
Community members in more than 23 million households across the nation, 
including urban, suburban, and rural communities rely on ACP to pay for 
the high-speed Internet service they need for school, work, health 
care, essential services, and more. As a matter of fact, four of the 
seven states with the highest ACP enrollment are represented by members 
of the Senate Committee on Commerce, Science and Transportation, to 
which this subcommittee reports (Source: USAC, Feb. 2024).
    Most importantly, we all lose when ACP ends. Households and 
families lose. Students lose. Covered populations including seniors, 
veterans, low-income, and rural community members lose. Healthcare 
loses. Essential services lose. Local economies lose. Our national 
economy loses. Our national standing and global competitiveness loses, 
and we put the vitality and security of our Nation at risk. The end of 
ACP puts networks, local ISPs, and BEAD infrastructure investments at 
risk and erodes public trust. Since, we just got started. Quitting now 
would be a waste.
    In closing, I echo the understanding that ``People and places 
thrive when everyone can participate.'' Economies thrive when everyone 
can participate. So, I ask everyone in this room, Do you use a cell 
phone, computer or laptop? Do you have Internet access at home? Do you 
ever check e-mails from home? . . . correspond with staff or 
constituents online? . . . attend a group meeting online? . . . Review 
documents or do research online? . . . make payments or check accounts? 
. . . Purchase goods, food, or tickets online? . . . Access health 
information or make appointments online? The modern world is driving 
all of us online.
    As we face the potential but untimely and short-sighted end of ACP, 
I ask you to join more than 23 million households in an experiment: 
turn off your devices and go without using the Internet for the next 
five minutes, five hours, and five days. Yes, give it a try while 
reflecting on how the rest of your day will be impacted. How will loss 
of Internet access affect your professional life and personal life? 
What would be different for you without the Internet? Let's let this 
sink in for a moment. AND, then acknowledge again that as of April 30, 
2024, just two days ago, more than 23 million households are now at 
risk of losing their Internet connectivity with the end of ACP.
    Let's not let more than 23 million households and families 
disappear from the digital economy. Congress has the power to act now 
to keep those 23 million households of constituents connected, and I am 
here to remind you today, that the health and well-being of Americans, 
as well as the economic vitality and security of our nation, depend on 
it.

STATEMENT OF KATHRYN de WIT, PROJECT DIRECTOR, BROADBAND ACCESS 
               INITIATIVE, PEW CHARITABLE TRUSTS

    Ms. de Wit. Ranking Member Cruz, Chairman Lujan, and 
Ranking Member Thune, as well as members of the Subcommittee, 
thank you very much for inviting me to testify in today's 
hearing. Also, a very happy birthday to Senator Welch.
    My name is Kathryn de Wit, and I am the Project Director 
for the Broadband Access Initiative at The Pew Charitable 
Trusts. Pew is a non-profit, non-partisan, evidence-based 
organization, and for more than 75 years we have used data to 
make a difference.
    My team works directly with broadband offices from 36 
states and territories to help them navigate this unprecedented 
moment: the largest Federal investment in affordable broadband 
access in our Nation's history. The Affordable Connectivity 
Program, also known as ACP, is essential to this work.
    Achieving universal broadband requires two things. First 
are supply side solutions, steps that reduce the cost of 
building networks and delivering service to American homes. 
Second are demand-side interventions that reduce the cost of 
broadband for consumers, particularly low-income and vulnerable 
households.
    We tried ``If you build it, they will come,'' but COVID--
but the COVID-19 pandemic demonstrated why that approach will 
not get us to the finish line. We witnessed in real time how 
tens of millions of Americans struggled--struggled to work, 
learn, and access health care because they did not have 
reliable or high-quality Internet.
    Why? For some, it was too expensive. For others, it was 
simply unavailable. Congress took swift action to address this, 
including dedicating funding to immediately bring vulnerable 
households online, and it worked.
    Twenty-three million households participate in the ACP 
today, including almost half--and almost half of those families 
are military families, and 19 percent are 65 and older. In 
Texas alone, 1.7 million households benefit from the program. 
In Michigan, more than 410,000 households are enrolled. These 
numbers are a remarkable testament to the response from 
Internet service providers, the public sector, and community 
partners across the country.
    Second, Congress established two important deployment 
initiatives: the Capital Projects Fund, and the Broadband 
Equity Access and Deployment Program, also known as BEAD. But 
for the first time, Congress addressed those supply-and-demand 
barriers together, by conditioning eligibility for deployment 
grants on participation in an affordability program.
    In other words, Congress took steps to ensure that $52 
billion in taxpayer funds would support networks that would be 
available and affordable to consumers, whether they were rural, 
veterans, or aging Americans living on a fixed income. ACP is 
currently the best tool we have to bridge the digital divide, 
because it alleviates cost burden on households and increases 
certainty for the providers that we need to connect every 
American. In fact, all 50 states have incorporated ACP into 
their deployment strategies for capital projects and BEAD.
    States are actively administering these programs right now. 
But ACP's potential end is introducing risk to states, 
providers, and consumers at a critical moment in 
implementation.
    We all know that broadband is complicated. States have 
expressed concerns about a range of challenges, from permitting 
to workforce shortages. But for more than a year, state 
broadband offices have raised alarms about the end of ACP, and 
providers of all types have expressed hesitation about 
participating in BEAD if ACP goes away.
    That is why we ask Congress to act quickly and decisively 
to keep ACP funded. Ohio's digital equity plan notes that the 
end of ACP will abruptly disrupt access to affordable Internet 
that low-income Ohioans rely on for education, work, and health 
care.
    That concern is echoed by other program recipients. A 
recent survey found that 68 percent of enrolled military 
families were concerned about missing out on job opportunities. 
Seventy-two percent of enrolled Americans over 65 are worried 
about losing access to health care. Ninety-five percent of all 
participants said they would struggle with other household 
costs, including groceries, utilities, housing, and health 
care.
    ACP should be improved to better reach the households that 
need it and ensure that taxpayers are being protected from 
waste, fraud, and abuse. We must extend ACP at the next 
legislative opportunity if we want $52 billion in taxpayer 
money to support broadband that Americans can use for access to 
education, health care, job opportunities, and more.
    There is no time to waste. Thank you.
    [The prepared statement of Ms. de Wit follows:]

   Prepared Statement of Kathryn de Wit, Project Director, Broadband 
              Access Initiative, The Pew Charitable Trusts
    Chairwoman Cantwell, Ranking Member Cruz, Chairman Lujan, Ranking 
Member Thune, and other members of the Subcommittee on Communications, 
Media, and Broadband, thank you for inviting me to testify in today's 
hearing, ``The Future of Broadband Affordability.'' My name is Kathryn 
de Wit, and I am the project director for the broadband access 
initiative at The Pew Charitable Trusts.
    Pew is a nonprofit, nonpartisan, evidence-based organization. For 
more than 75 years, we have used data to make a difference--addressing 
the challenges of a changing world by illuminating issues, creating 
common ground, and advancing ambitious policies that lead to tangible 
progress. Pew's broadband access initiative was established in 2017, 
and we partner with state and Federal policymakers, researchers, 
industry, community organizations, and other stakeholders from across 
the broadband landscape to accelerate the Nation's progress toward 
universal, affordable high-speed Internet service. In addition to 
providing research, informing state and Federal policy, and educating 
stakeholders, my team is working directly with the broadband offices 
from 36 states and territories to help them navigate this unprecedented 
moment: the largest Federal investment in affordable broadband access 
in our Nation's history.
    These investments may finally put affordable, high-speed Internet 
within reach of every American in this country. Research is clear that 
achieving universal access requires interventions to address the high 
capital costs of deployment and the long-term cost of network 
operations, and the cost of broadband for low-income households, aging 
Americans living on a fixed income, veterans, and others. Closing the 
digital divide requires addressing these supply and demand side 
barriers simultaneously, thus decreasing risk for private sector 
investment and increasing consumer confidence in the service. The 
Affordable Connectivity Program (ACP) is the best tool we have to make 
broadband more accessible and affordable to all Americans. A lapse in 
funding would harm the 23 million households currently enrolled in the 
program and threaten the Federal deployment programs currently underway 
that will connect millions more unserved households and businesses. I 
implore Congress to act quickly and identify a short-term funding 
solution to save the ACP.
    I am grateful for the opportunity to share insights and learnings 
from our years of work on affordable broadband access, including state 
broadband programs. Like others, including private sector Internet 
service providers, we have concluded that millions of people across the 
country still lack sufficient access to broadband service, largely 
because they live in rural communities, which are the most difficult 
and expensive to serve. The challenges of deploying broadband network 
infrastructure in rural locations, particularly those with low 
population density and difficult terrain, create high costs and low 
returns on investment that discourage providers from expanding into 
those areas. Moreover, broadband deployment in the U.S. has been 
market-driven, with private-sector telephone and cable companies 
investing in infrastructure in areas that provide higher rates of 
return. This means, as rational economic actors, private Internet 
service providers (ISPs) tend to focus on areas with denser and higher-
income populations.
    In addition to the economic challenges associated with broadband in 
rural areas, the cost of broadband negatively impacts the demand for 
broadband by low-income Americans. Last year, Pew Research Center found 
that, despite 87 percent of U.S. adults with annual household incomes 
of $30,000 or less saying they used the internet, just 57 percent of 
that same cohort had broadband at home. Comparatively, 98 percent of 
U.S. adults with annual household incomes of over $70,000 use the 
internet, 88 percent of which report having broadband at home. Further, 
although the research center found differences in broadband adoption by 
gender, race and ethnicity, and community type (urban, suburban, and 
rural), income is the only category for which this difference is 
statistically significant. Pew Research Center also found that 45 
percent of U.S. adults cite the high monthly cost of a connection as 
the reason they do not have broadband, and researchers at the R Street 
Institute have argued increased availability of service does not 
necessarily result in increased adoption. Price matters.
    Given the influence of cost on customer demand and the high capital 
costs of deploying broadband, internet service providers have little 
reason to upgrade existing networks or build new ones in low-income 
areas. That investment decision may also impact customers who can pay 
full price for a subscription. Although public funds such as loans or 
grants can help offset the cost of capital expenses, ISPs require 
additional funding to keep these high-cost communities online.
    Additionally, the prevailing argument for lack of expansion has 
been that most non-adopters do not perceive the Internet to be 
``relevant'' to their lives and therefore will not purchase service. 
Yet the data shows us that broadband is still too expensive for 
households, even though they report it being relevant to their lives.
Broadband Affordability and Deployment Investment Go Hand-in-Hand
    Many combine the two challenges of making broadband more affordable 
for all consumers and cost as a barrier to adoption for low-income 
Americans into one conversation about broadband affordability. However, 
we conclude that these issues require different policy interventions.
    Addressing affordability for all broadband consumers requires 
supply-side solutions--steps that reduce the cost of building networks 
and delivering service to American homes. It also requires more 
transparency to help customers understand the cost of the service they 
are purchasing. But these will not fully address the challenge of 
affordability as a barrier to adoption for low-income households. Doing 
so requires demand-side policy interventions that remove cost as a 
barrier, such as policies and programs that help cover the cost of both 
connections and devices, as well as efforts to help connect households 
with those programs.
    Those realities are reflected in a series of programs Congress 
authorized in response to the COVID-19 pandemic and ongoing efforts to 
invest in our Nation's infrastructure: the American Rescue Plan Act's 
Capital Project Fund (CPF), the Investment Infrastructure and Jobs 
Act's (IIJA), and the Broadband Equity Access and Deployment (BEAD) 
program. Specifically, these programs are designed to defray the 
capital costs of deployment to higher-cost areas like rural and low-
income communities. However, unlike past grant programs, recipients 
must participate in a subsidy program targeted at vulnerable 
populations that may be unable to pay for regular service, including 
low-income households, veterans, and Pell Grant recipients. This 
requirement should expand the customer base for Internet service 
providers by increasing the number of customers who can afford and 
maintain subscriptions and decreasing turnover of those customers, 
defraying the cost for ISPs. The Affordable Connectivity Program 
currently helps ISPs meet this requirement.
High Enrollment and Support for the ACP
    The ACP has been a success, demonstrating high rates of enrollment, 
a positive effect on individuals and networks, and assumed impact on 
the Nation's GDP. More than 23 million households are currently 
enrolled, far exceeding participation in programs like Lifeline. Of 
these participating households, approximately half are Americans over 
50 and military families or veterans. Enrollment is high across states. 
For example, 58 percent of eligible Ohioans are enrolled as are 48 
percent of Wisconsinites, 52 percent of eligible North Carolinians, and 
41 percent of Texans. Even in states with lower enrollment, South 
Dakota (19 percent) and Montana (29 percent), still had significantly 
higher participation in this program than they do in Lifeline, which is 
around 2 percent in each state. Data also show that ACP spending almost 
equally benefits districts represented by Republicans and Democrats. 
What's more, 62 percent of Republican, 78 percent of Independent, and 
96 percent of Democratic voters all support continuing ACP, according 
to the Digital Progress Institute.
    In a November 2023 letter, a bipartisan group of 26 governors 
including: Arizona Governor Katie Hobbs (D), Colorado Governor Jared 
Polis (D), Illinois Governor J.B. Pritzker (D), Kansas Governor Laura 
Kelly (D), Massachusetts Governor Maura Healey (D), Michigan Governor 
Gretchen Whitmer (D), North Carolina Governor Roy Cooper (D), New 
Mexico Governor Michelle Lujan Grisham (D), Nevada Governor Joe 
Lombardo (R), Vermont Governor Phil Scott (R), Wisconsin Governor Tony 
Evers (D), and, Wyoming Governor Mark Gordon (R), among several others, 
implored Congress to preserve ACP. Additionally, Mississippi Governor 
Tate Reeves (R), Missouri Governor Mike Parson (R), Ohio Governor Mike 
DeWine(R), Tennessee Governor Bill Lee (R), and Texas Governor Greg 
Abbott (R), among others, have individually voiced their support for 
the importance of ACP and the continuation of the program.
    A recent survey of participants from the Benenson Strategy Group in 
collaboration with Comcast allows me to add further clarification on 
who benefits from ACP:

   49 percent of participating households are military 
        families.

   19 percent of participating households are 65 and older.

   26 percent live in rural areas.

   47 percent are white, 23 percent are Black, 23 percent are 
        Latino, and 8 percent are Asian American Pacific Islander.

   41 percent live in the South, from Texas to Virginia.

    Researchers also asked the surveyed population how losing ACP could 
affect their lives and livelihoods. Reponses included:

   77 percent of military families and 73 percent of Americans 
        65 and older said they were concerned about losing contact with 
        their communities and loved ones.

   67 percent of rural residents were worried about losing 
        their jobs or primary source of income and 68 percent of 
        military families were concerned about missing out on job 
        opportunities.

   95 percent of surveyed participants said they would struggle 
        with other household costs, including groceries, utilities, 
        housing, and health care.

    Recent research from Cox Communications found that newly connected 
residents in rural communities felt broadband service ``has improved 
their lives,'' with 70 percent of those under 30 surveyed reporting 
they are ``more likely to remain in their communities when there's a 
high-speed Internet connection at home.'' This sentiment is echoed by 
many organizations that represent the interest of rural communities and 
agricultural producers--from the Farm Bureau to Land `O Lakes to the 
U.S. Soybean Association--note the critical relationship between 
affordable broadband and rural prosperity.
    As former FCC Chair Michael O'Rielly noted in a February 2023 op-ed 
in The Hill, ``there is bi-partisan agreement that access to broadband 
can be a key tool for citizen self-sufficiency and upward social 
mobility,'' leading to greater access to services such as education and 
training that could ultimately lower participation in other social 
welfare programs. This is supported by research from other research 
institutions, such as the American Consumer Institute, that note the 
higher earning potential associated with digital skills. George Zuo, an 
economist at the University of Maryland, found that recipients of 
Comcast's Internet Essentials benefits--a subsidy program similar to 
ACP--had higher rates of employment and earnings, as well as decreased 
probability for unemployment. John Horrigan, publishing Pew-supported 
research at The Benton Institute, applied Zuo's methodology to ACP, 
concluding, ``every dollar of ACP subsidy returns nearly two dollars in 
impacts to those using the program.''
    Similarly, Sprintson and Oughton concluded that ACP could have a 
greater effect on the economy than BEAD, specifically due to the 
downstream effects on sectors such as retail, health care, and social 
assistance, which are ``more reliant on broadband as a production 
input.''
    The rapid growth of ACP is attributable to several factors, 
including the participation of ISPs across the country. Research has 
reinforced this, concluding that adoption has steadily increased since 
2020, due to both the increased availability of wired connections and 
pandemic relief efforts. This is observable in states such as Kentucky, 
New Mexico, and Ohio, where broadband access has steadily improved over 
the lifespan of ACP. All three states also exhibit high participation 
in ACP. In fact, a study on a public-private partnership between the 
Housing Authority of the City of Los Angeles (HACLA) and an Internet 
service provider, concluded that sufficient speeds and limited 
enrollment barriers can induce low-income customers to stay online 
after free service runs out. In this case, 2,071 residents--more than 
half of the residents in the 10 HACLA communities in the study--paid 
$15 per month for service. Although ACP recipients pay a median of $40 
a month after the benefit is applied, positive trends in adoption and 
retention paired with increasing speeds are important lessons to 
consider for future policy efforts, including BEAD, CPF, and the ACP.
Room for Improvement--ACP Reforms
    Even with this success, there is room for improvement. An audit of 
the ACP released in January 2024 found that the program could benefit 
from several changes, such as setting specific programmatic targets. 
Other recommendations centered on improving the oversight of the 
program through activities such as publishing reports on ISP compliance 
and enhancing quality controls for verifying eligibility of consumer 
applications and ISP claims.
    Pew agrees that the ACP would benefit from such changes, adding 
needed transparency to this program. Additionally, it would enable 
policymakers, researchers, and other stakeholders to understand ACP's 
effect on consumer behavior and ISP market dynamics. Examples of 
improving program oversight include tracking new subscribers, 
subscriber retention over time, and customers using ACP to upgrade 
service. Policymakers at every level of government are increasingly 
interested in understanding how consumers benefit from these subsidies. 
As such, Congress could direct the FCC, in partnership with other 
agencies, to establish a framework to analyze the immediate and long-
term effects of ACP or a similar subsidy program on factors of social 
vulnerability and economic opportunity. Another analysis could focus on 
how programs focused on low-income households can save money through 
the provision of digital services.
    Studying ACP, particularly paired with upcoming BEAD and the 
Digital Equity Act programs, will enable lawmakers to continue refining 
program requirements and estimating cost over time.
Life Without the ACP--Threat to Federal Broadband Deployment Efforts
    ACP's lapse will call these gains into question. Failure to fund 
the program would undercut the success of other significant Federal 
programs, including the $14.2 billion previously spent on ACP and $66 
million in outreach grants to nonprofits, state, and local government, 
and other entities to establish trust in the program and encourage 
signups. Not to mention the approximately $52 billion committed to CPF 
and BEAD, where providers of different sizes, service delivery, and 
technologies have expressed hesitation about participating in those 
programs if ACP goes away. These numbers do not account for the 
investments in marketing and outreach from nonprofit organizations and 
for-profit companies inside and outside the telecommunications 
community. In fact, more than 400 organizations, representing a range 
of political, social, and industry interests, called on Congress to 
fund the ACP.
    All 56 states and territories have incorporated ACP or a similar 
success program into their deployment strategies for BEAD and their 
plans for Digital Equity Act funding. In their BEAD Initial Proposal 
Volume II, every state has proposed how an awarded provider would make 
a low-cost service option available to ACP eligible households. The 
National Telecommunications and Information Administration (NTIA) is 
actively reviewing these proposals, but as of April 30, 2024, four 
states are approved to move forward. These states--Kansas, Louisiana, 
Nevada, and West Virginia--all designed their low-cost service options 
to be between $30--$65 to ensure ACP eligible households can afford 
service on a BEAD-funded network. Not only is the ACP subsidy critical 
to the success of BEAD, but states are also relying on the 
administrative infrastructure of the National Verifier to determine 
which households are eligible for a low-cost service option.
    Further, nearly every state detailed in their statewide digital 
equity plans how they planned to leverage ACP and utilize their Digital 
Equity State Capacity Grant allocation to promote enrollment. In Texas, 
the broadband office planned to utilize these funds to ``increase the 
percentage of Texans who are aware of the Affordable Connectivity 
Program.'' Similarly, in Ohio, the broadband office planned to 
``support ACP outreach and enrollment and other affordability efforts 
statewide'' by leveraging regional networks to increase ACP awareness 
and convene the recipients of FCC ACP Outreach grants to share best 
practices. The Ohio plan directly notes that, ``ACP has helped more 
than 1 million Ohioan households sign up for and maintain a home 
Internet subscription by offering a $30 monthly subsidy. Unfortunately, 
the program's funding is projected to run out by the spring of 2024. 
This would, in turn, abruptly disrupt access to affordable Internet 
that low-income Ohioans rely on for education, work, and healthcare.''
    ACP's dissolution is adding risk to these programs at a critical 
moment in project planning for state policymakers and private sector 
partners. Twenty-six states have launched their challenge processes to 
determine which areas will be eligible for BEAD and are preparing to 
begin the subgrantee selection process. As providers across the country 
have noted, the existence of ACP will factor into their decision to 
participate in the program.
Conclusion
    Ambitious goals--such as connecting every American to high-speed, 
affordable internet--require a combination of public and private sector 
partners working together. The central responsibility in the public 
sector is the providing of secure and reliable funding. With millions 
of people lacking access to a service that has become essential for 
quality of life and economic well-being, there is no time to waste. Pew 
asks that Congress act swiftly to ensure the future of ACP and 
prioritize long-term policies that promote access to high-speed 
affordable Internet for all Americans.

    Senator Lujan. Thank you, Ms. de Wit.
    Mr. Levin, you're recognized for your opening statement.

STATEMENT OF BLAIR LEVIN, POLICY ADVISOR, NEW STREET RESEARCH; 
           NONRESIDENT SENIOR FELLOW, BROOKINGS METRO

    Mr. Levin. Thank you very much, Chair Lujan, Ranking Member 
Thune, Senator Welch, and other members of the Subcommittee, 
thank you for inviting me to today's hearing. My name is Blair 
Levin. I'm an equity analyst with New Street Research and a 
nonresident fellow at Brookings, but I'm speaking solely for 
myself.
    Today, I'd like to explain why ACP should be extended and 
then, as part of a larger Universal Service Fund reform, be 
maintained with whatever modifications Congress deems wise.
    First, the cost of digital exclusion is already large and 
growing, with AI certain to magnify those costs. In 2010, the 
National Broadband Plan documented how the cost of digital 
exclusion was large and growing. In March 2020, the United 
States, in an overwhelmingly bipartisan manner, saw that cost, 
and agreed it was unacceptable. The pandemic has largely ended, 
but the shift to online delivery of essential services and the 
need for connectivity to participate in the economy has not; 
and the coming wave of AI will magnify those costs.
    Second, despite that knowledge, our country is about to 
take the greatest step backward any country has ever taken to 
widen, not close, the digital divide.
    Third, the cost of that disconnection will be 
extraordinarily painful to individuals and families. My fellow 
witnesses have already testified to how ACP recipients would be 
harmed by the program's demise. I will not repeat their 
powerful testimony. Instead, I will focus on the cost to all of 
us.
    And that leads me to the fourth point. Digital 
disconnection will impose an immediate cost on our economy, 
shrinking economic growth. My written testimony cites studies 
demonstrating how the program increases earnings for low-income 
households and increases GDP. It is no surprise, therefore, 
that business groups overwhelmingly support the extension.
    Fifth, the loss of the ACP will raise the cost of 
government-provided health care and worsen health care 
options--outcomes. Numerous studies demonstrate that telehealth 
can lower costs and improve outcomes in many circumstances 
including cancer, maternal mortality, opioid treatment, and 
emergency room visits. ACP opens the door to improving health 
care outcomes while lowering costs for Medicaid, Medicare, and 
the VA. Alternatively, the end of ACP is likely to cause 
increased health care costs and worse health outcomes. Why 
would we want to do that?
    Sixth, the loss of ACP will raise the cost of government 
and diminish its performance in other areas as well. The story 
of broadband and health care is repeated in other areas where 
government is the key investor, including job training, job 
placement, education, and other social services.
    This is not surprising. Broadband is a general-purpose 
technology. It enables innovations and efficiencies in multiple 
areas. In 2013, Google's chief economist estimated that the 
Internet already generated $500 in consumer surplus per user 
annually, citing multiple different kinds of savings.
    And it logically follows that because many low-income 
households are so dependent on government programs, the 
consumer surplus that ACP recipients obtain also creates a 
surplus for those--for the government through those programs. 
So again, why would we want our investments to be less 
effective and more expensive?
    Seventh, the loss of ACP will particularly hurt rural areas 
and military families. As others have noted, rural areas in 
particular benefit from ACP. I cite several in my written 
testimony.
    Let me illustrate with one more: rural areas are suffering 
from a growing epidemic of hospital closures, and that makes 
telehealth even more essential.
    As Ms. de Wit noted, losing ACP would reduce the value of 
BEAD deployment dollars, meaning that communities that could 
have been connected to fiber will end up connected with fixed 
wireless or even satellites.
    Eighth, every negative consequence I've mentioned will be 
made worse as AI becomes embedded in our economy and society.
    Ninth, the administrative cost of shutting down and 
starting up again is high. It would be a huge waste to shut ACP 
down and incur, as we would inevitably do, the startup costs 
again.
    In sum, losing ACP will result in slower economic growth, 
increases in the cost of health care, education, job training 
and placement, and other social services, while decreasing the 
effectiveness of those services.
    I know I'm a Democratic witness, but let me just close by 
endorsing the letter 20 House Republicans sent Speaker Johnson 
asking for action on ACP, saying, ``Bipartisan solutions are 
within reach to ensure uninterrupted access to the ACP, while 
concurrently pursuing long-term funding strategies.''
    I completely agree. Let's adopt a clean extension, and then 
reform the entire Universal Service Fund to put it and ACP on a 
sustainable basis. Thank you.
    [The prepared statement of Mr. Levin follows:]

 Prepared Statement of Blair Levin, Policy Analyst, New Street Research
    Chairwoman Cantwell, Ranking Member Cruz, Chair Lujan, Ranking 
Member Thune, and other members of the Subcommittee on Communications, 
Media, and Broadband, thank you for inviting me to testify in today's 
hearing, ``The Future of Broadband Affordability.''
    My name is Blair Levin. I am the policy analyst with New Street 
Research, an equity research firm, a Senior Non-Residential Fellow at 
the Metropolitan Policy Project of the Brookings Institution. In 2009-
2010 I led the team that wrote the United States National Broadband 
Plan. From 1993-1997 I served as Chief of Staff to FCC Chairman Reed 
Hundt. I am here speaking on behalf of myself, and my views are not 
intended to represent the views of any organization with which I am 
affiliated.
    Today, I would like to explain why the ACP should be extended and 
then, as part of a larger Universal Service Fund reform effort, be 
maintained with whatever modifications Congress deems wise.
First, the cost of digital exclusion is already large and growing, with 
        Artificial Intelligence (AI) certain to magnify the cost.
    In 2010, the National Broadband Plan documented how the cost of 
digital exclusion was large and growing. In March of 2020, the United 
States, in an overwhelming bi-partisan manner saw and understood that 
cost and agreed that the cost was unacceptable. In 2021, Congress found 
that ``Access to affordable, reliable, high-speed broadband is 
essential to full participation in modern life in the United States;'' 
and that ``(t)he persistent `digital divide' in the United States is a 
barrier to the economic competitiveness of the United States and 
equitable distribution of essential public services, including health 
care and education.'' It then funded programs to close that divide.
    The pandemic has largely ended but the shift to online delivery of 
essential services and need for connectivity to participate in the 
economy has not. And it will likely accelerate again. AI will not be as 
dramatic an evangelist for universal broadband as was COVID. It will 
not make the case in a single March weekend. Nonetheless, in the last 
part of this decade, we are going to discover that the cost of digital 
exclusion will be even greater than it was during COVID, as Artificial 
Intelligence magnifies those barriers and costs.\1\
---------------------------------------------------------------------------
    \1\ As Bill Gates noted in his 2024 letter, ``we are 18-24 months 
away from significant levels of AI use by the general population.'' 
https://www.gatesnotes.com/The-Year-Ahead-2024
---------------------------------------------------------------------------
    In short, we already know the cost of disconnection is unacceptable 
and the cost will inevitably get much worse.
Second, despite that knowledge, our country is about to take the 
        greatest step backwards any country has ever taken to widen, 
        not close, the digital divide.
    You all know the reason. Early this month, the Affordable 
Connectivity Program (ACP), which provides a monthly subsidy sufficient 
to purchase broadband for over 23 million households, nearly 60 million 
people, will run out of funds.
    We can't know how many persons will be disconnected as a result.
    But we do know 53 percent rural survey respondents and 47 percent 
of all respondents reported having either zero Internet connectivity or 
relying solely on mobile Internet service prior to receiving their ACP 
benefit.\2\ Nearly 70 percent of survey respondents reported they had 
inconsistent connectivity or zero connectivity at all before ACP.\3\ 
More than three-quarters of respondents say losing their ACP benefit 
would disrupt their service by making them change their plan or drop 
Internet service entirely.\4\
---------------------------------------------------------------------------
    \2\ https://www.fcc.gov/sites/default/files/Measuring-Impact-ACP-
Survey-Fact-Sheet.pdf
    \3\ https://www.fcc.gov/sites/default/files/Measuring-Impact-ACP-
Survey-Fact-Sheet.pdf
    \4\ https://www.fcc.gov/sites/default/files/Measuring-Impact-ACP-
Survey-Fact-Sheet.pdf
---------------------------------------------------------------------------
    So, the number of Americans disconnected from a permanent broadband 
connection if ACP disappears is likely to number in the tens of 
millions.
Third, the cost of that disconnection will be extraordinarily painful 
        to individuals and families.
    A recent study\5\ showed that
---------------------------------------------------------------------------
    \5\ https://www.bsgco.com/acp-fact-sheet

   65 percent of ACP participants fear that losing broadband 
        would result in losing their job or their household's primary 
---------------------------------------------------------------------------
        source of income;

   75 percent fear losing access to health care; and

   81 percent of ACP parents worry about their children falling 
        behind in school.

    I would hope that we could agree that government should act to 
alleviate, not exacerbate, such fears.
Fourth, that is not the only cost. Digital disconnection will also 
        impose an immediate cost on our economy, shrinking economic 
        growth.
    A 2021 study showed that in areas where discount Internet plans 
were available, there was a positive impact on employment rates and 
earnings of eligible households. With greater labor force participation 
and decreased probability of unemployment, low-income households saw a 
$2,200 annual earning boost from subsidized Internet programs. As the 
study showed increased broadband affordability for low-income people 
leads to ``increased employment rates and earnings of eligible 
individuals, driven by greater labor force participation and decreased 
probability of unemployment''--providing further savings to government 
unemployment insurance programs.\6\
---------------------------------------------------------------------------
    \6\ https://www.aeaweb.org/articles?id=10.1257/pol.20190648
---------------------------------------------------------------------------
    Another study found that ``every dollar of ACP subsidy returns 
nearly two dollars in impacts to those using the program'' due to 
``employment effects that boost household income; and convenience 
effects, e.g., time saved from shopping online as well as having access 
to a greater variety (or quality) of goods.'' \7\
---------------------------------------------------------------------------
    \7\ https://www.benton.org/publications/affordable-connectivity-
program-benefits-outweigh-costs
---------------------------------------------------------------------------
    Further, a recent economics working paper estimated that for every 
dollar spent on the ACP, the Nation's GDP increases by $3.89--nearly 
twice the multiplier of the far larger Broadband Equity Access and 
Deployment (BEAD) Program, which builds new digital infrastructure in 
unserved locations.\8\
---------------------------------------------------------------------------
    \8\ https://arxiv.org/ftp/arxiv/papers/2311/2311.02431.pdf
---------------------------------------------------------------------------
    Thus, it is no surprise that business groups overwhelmingly support 
the extension. Not only is an ACP extension endorsed by enterprises in 
the communications market but also by Chambers of Commerce across the 
country.
Fifth, and too often ignored, the loss of the ACP program will raise 
        the cost of government provided health care services and 
        diminish health care outcomes.
    It should not be surprising that as a 2021 medical paper found that 
``Digital literacies and Internet connectivity have been called the 
`super social determinants of health' because they address all other 
social determinants of health (SDOH). For example, applications for 
employment, housing, and other assistance programs, each of which 
influences an individual's health, are increasingly, and sometimes 
exclusively, accessible online. The costs of equipping a person to use 
the Internet are substantially lower than treating health conditions 
and the benefits are persistent and significant, making the efforts to 
improve digital literacy skills and access valuable tools to reduce 
disparities.'' \9\
---------------------------------------------------------------------------
    \9\ https://www.nature.com/articles/s41746-021-00413-8
---------------------------------------------------------------------------
    But it is not just good for the patient; it is also good for the 
patient's insurance company. As the largest health care insurer, the 
Federal government should want to take advantage of savings such as 
those seen in a recent study\10\ finding the cost savings of using 
telehealth for patients with cancer ranged from $147 to $186 per visit, 
or the University of Pennsylvania study\11\ showing that telemedicine 
was 23 percent less expensive than in-person visits. Similarly, a 2023 
study\12\ by the Department of Veterans Affairs found that ``veterans 
who utilized a new tele-emergency service were nearly half as likely to 
visit an emergency department in-person and showed reduced short-term 
Veteran visits to emergency departments outside of VA.''
---------------------------------------------------------------------------
    \10\ https://jamanetwork.com/journals/ jamanetworkopen/fullarticle/
2800164
    \11\ https://www.pennmedicine.org/news/news-releases/2023/june/
employee-telemed-visits-25-percent-less-costly-for-health-system
    \12\ https://www.va.gov/ann-arbor-health-care/stories/new-research-
telehealth-emergency-care-
leads-to-decreased-emergency-department-visits-hospitalizations-
reduced-health/#::text=Health
%20Care%20Costs-
,New%20Research:%20Telehealth%20Emergency%20Care%20Leads%20to%20
Decreased%20Emergency%20Department,Hospitalizations%2C%20Reduced%20Healt
h%20Care
%20Costs
---------------------------------------------------------------------------
    Another area where telehealth can improve both costs and outcomes 
is with maternal mortality rates. The United States has alarming trend 
lines in this arena, with an increase of 60 percent in maternal 
mortality between 2019 and 2021.\13\ At the behest of Congress, the 
Federal Communications Commission mapped where maternal mortality is 
highest--and the maps of places where new mothers die at the highest 
rates look a lot like maps of where household Internet subscription 
rates are low.\14\
---------------------------------------------------------------------------
    \13\ https://healthcare.rti.org/insights/digital-health-maternal-
outcomes
    \14\ https://www.fcc.gov/reports-research/maps/connect2health/
maternal-health-map.html?bb
Sel=Broadband+Access&mhSel=Maternal+Deaths&bbThresh=90.25&mhThresh=1&md=
2
---------------------------------------------------------------------------
    Of course, there are many factors that influence maternal 
mortality, but it is worth noting that there are promising ways to 
address maternal mortality that rely on home broadband for new mothers. 
In Louisiana, Ochsner Health has had success in using digital tools to 
monitor at-home blood pressure and other risk factors for pregnant 
women, resulting in fewer hospital admissions and caesarean section 
procedures. Such remote maternity online monitoring has reduced 
unexpected neonatal intensive-care unit admissions by 27 percent.\15\
---------------------------------------------------------------------------
    \15\ https://www.ama-assn.org/practice-management/digital/how-
digitally-enabled-care-can-improve-postpartum-outcomes
---------------------------------------------------------------------------
    The healthcare benefits of using digital tools extend beyond 
maternal mortality. Telehealth is associated with people maintaining 
their participation in opioid treatment programs\16\ and telehealth can 
reduce the cost of healthcare service delivery with only marginal 
increases in in-person visits.\17\ Given the amount the United States 
spends on Medicare and Medicaid, universal, sustainable broadband 
should be seen as a huge opportunity to improve health outcomes while 
lowering costs.
---------------------------------------------------------------------------
    \16\ https://jamanetwork.com/journals/jamanetworkopen/fullarticle/
2810828
    \17\ https://www.ajmc.com/view/economics-of-a-health-system-s-
direct-to-consumer-telemedicine-for-its-employees
---------------------------------------------------------------------------
    In short, the end of ACP is likely to cause increased health care 
costs and worse health outcomes. Why would we want to do that?
Sixth, the loss of the ACP program will raise the cost of government 
        and diminish its performance in other areas as well.
    One such area is job training. As noted above, access to broadband 
leads to ``greater labor force participation and decreased probability 
of unemployment'' in part because connections enable access to online 
job training courses that can be tailored to an individual's 
background, geography, and ambitions. This reduces the costs of our 
unemployment system.
    A similar story involves job placement. In 2016, the Dallas Fed 
found that already 60-70 percent of job opportunities were posted 
online.\18\ By now that number has no doubt increased. So, if we want 
to reduce the financial costs of our unemployment system, we need 
everyone online.
---------------------------------------------------------------------------
    \18\ https://www.dallasfed.org/-/media/Documents/cd/pubs/
digitaldivide.pdf
---------------------------------------------------------------------------
    Education offers a similar picture. Students without home Internet 
access have lower grades, complete homework less often and are less 
likely to attend college. They score about three points lower on a 64-
point digital skills scale compared to those with home internet. There 
is also a significant ``homework gap'' with 64 percent of students with 
no home Internet often leaving homework unfinished, compared to 17 
percent with home access.\19\
---------------------------------------------------------------------------
    \19\ https://www.pewtrusts.org/en/research-and-analysis/articles/
2020/12/08/what-covid-19-underscores-about-how-broadband-connectivity-
affects-educational-attainment
---------------------------------------------------------------------------
    The same story--reduced costs and improved performance--can be 
found for other social services. ACP creates benefits for social 
service suppliers. Greater certainty in at-home service for clients 
makes it more attractive to invest in solutions in health care and job 
training. The ACP is helping to create and is now part of an emerging 
innovation system where the value of investing in social solutions is 
greater due, in part, to more consistent connectivity for low-income 
people. The ACP has brought stability to the last mile of service 
delivery for these new solutions.
    Seventh, the loss of the ACP program will particularly hurt rural 
areas and military families.
    As a starting point, nearly half (49 percent) of rural households 
qualify for ACP compared with 40 percent of non-rural households. This 
gap largely results from more lower income households in rural parts of 
the country. Some 36 percent of rural households have annual incomes at 
or below 200 percent of the Federal poverty level compared to 28 
percent for households in non-rural areas.\20\
---------------------------------------------------------------------------
    \20\ https://www.benton.org/blog/affordable-connectivity-program-
and-rural-america#::text=
15%25%20of%20all%20rural%20households,have%20enrolled%20in%20the%20benef
it
---------------------------------------------------------------------------
    Further, as noted above, more rural than non-rural residents 
reported having either zero Internet connectivity or relying solely on 
mobile Internet service prior to receiving their ACP benefit.\21\
---------------------------------------------------------------------------
    \21\ https://www.fcc.gov/sites/default/files/ Measuring-Impact-ACP-
Survey-Fact-Sheet.pdf
---------------------------------------------------------------------------
    The statistics I cited earlier on the benefits of telehealth are 
even more important to rural areas, as they are suffering from an 
epidemic of hospital closures, an epidemic that is likely to get much 
worse, making telehealth even more essential.\22\
---------------------------------------------------------------------------
    \22\ https://www.beckershospitalreview.com/finance/states-with-the-
most-rural-hospital-closures.html
---------------------------------------------------------------------------
    But the biggest problem may be the impact of losing ACP on BEAD and 
rural broadband deployment. As the consulting group BCG found, ACP 
reduces the subsidy needed to incentivize providers to build in rural 
areas by 25 percent per household, writing ``the existence of ACP, 
which subsidizes subscriber service fees up to $360 per year, reduces 
the per-household subsidy required to incentive ISP investment by $500, 
generating benefit for the government and increasing the market 
attractiveness for new entrants and incumbent providers.'' \23\
---------------------------------------------------------------------------
    \23\ https://www.commonsensemedia.org/sites/default/files/research/
report/2022-cs-bcg-closing-digital-divide_final-release-3-for-web.pdf
---------------------------------------------------------------------------
    But of course, if ACP goes away, those savings will also go away 
and to put a fine point on it, it is a mathematical certainty that 
there will be communities in, for example, Texas that instead of 
getting fiber will end up with fixed wireless or even satellite.
    As to military families, according to a White House study, they 
make up nearly half of the households that benefit from ACP.\24\ The 
ACP provides veterans a cost-effective way to access Department of 
Veterans Affairs services, such as telemedicine, job training, and VA 
benefits.
---------------------------------------------------------------------------
    \24\ https://www.whitehouse.gov/briefing-room/statements-releases/
2024/02/06/fact-sheet-as-affordable-connectivity-program-hits-
milestone-of-providing-affordable-high-speed-internet-to-23-million-
households-nationwide-biden-harris-administration-calls-on-congress-t/
---------------------------------------------------------------------------
Eighth, every negative consequence that I have mentioned will be made 
        worse, as AI becomes embedded in our economy and society.
    I have no doubt that later this decade we will view the 
implications of AI similarly to how we saw the implications of Covid in 
how both vividly demonstrate the unacceptability of digital exclusion.
    Whether we are discussing the skill sets needed, the jobs we need 
to fill, education\25\ and health care\26\ trends in artificial 
intelligence will exacerbate the negative consequences of any remaining 
digital divide. And those consequences in turn will make the United 
States less competitive as AI defines the new parameters of 
competition.
---------------------------------------------------------------------------
    \25\ https://www.govtech.com/education/will-ai-in-schools-widen-
the-digital-divide?utm_source=
sendgrid&utm_medium=e-mail&utm_campaign=Newsletters
    \26\ https://a16z.com/how-to-democratize-healthcare-ai-gives-
everyone-the-very-best-doctor/
---------------------------------------------------------------------------
    But I would urge you to consider not just the downside but also the 
upside in terms of the problems we can address if we have both 
universal adoption and artificial intelligence.
    For example, our young people remain behind in reading, a deficit 
that if not corrected, will cost our country billions in years to come 
due to such things as lost economic productivity\27\ and increases in 
crime.\28\ Recent data demonstrates that just 32 percent of fourth 
graders read at or above a fourth-grade level.\29\
---------------------------------------------------------------------------
    \27\ A 2020 study evaluating literacy and numeracy in OECD 
countries found that many adults with low literacy can find jobs, but 
that higher literacy and skill levels give workers more opportunities 
for career and income growth. Cherry, G., & Vignoles, A. (2020). What 
is the economic value of literacy and numeracy? IZA World of Labor 229 
https://doi.org/10.15185/izawol.229.v2 Similarly, Research indicates 
that education quality--measured by test scores in international 
student surveys--predicts economic growth. https://www.tandfonline.com/
doi/full/10.1080/13504851.2023.2168604. For example, the study cited 
above concludes ``test scores appear to be a good measure of both 
cognitive and non-cognitive skills of importance for growth.''
    \28\ The data is clear that there is ``a strong connection between 
early low literacy skills and our country's exploding incarceration 
rates.'' https://www.literacymidsouth.org/news/the-relationship-
between-incarceration-and-low-literacy.
    \29\ In 2022, the percentage of fourth-grade public school students 
performing at or above the NAEP Proficient level in reading was 32 
percent nationally. https://www.nationsreport
card.gov/reading/states/achievement/?grade=4.
---------------------------------------------------------------------------
    We can, and we must, fix that. With the tools of technology, 
particularly AI,\30\ we should make sure no future generations fall 
behind.\31\ As Bill Gates noted in his most recent letter, AI can bring 
personalized tutors to every student. ``The AI education tools being 
piloted today are mind-blowing because they are tailored to each 
individual learner. Some . . . are already remarkable, and they'll only 
get better in the years ahead.'' \32\ We should make sure that no one 
is denied full use of these ``mind-blowing'' technologies, particularly 
those students who need it the most.
---------------------------------------------------------------------------
    \30\ There are numerous AI programs that claim to assist young 
people improve their reading skills. A small sample includes:

       Khanmigo. The Khan Academy AI tutor.

       Amira. An AI-powered reading tutor that provides 
personalized help for struggling readers. Amira listens to students 
read out loud, assesses their reading, and provides feedback and 
support when they struggle.

       Giffie. An AI-powered reading tutor that helps kids 
practice by chatting with them, helping them pronounce words, and read 
sentences.

       Ello. An AI reading coach that supports parents in 
creating the best learning environment for their child.
    \31\ Research shows that certain interventions--such as frequent, 
small group tutoring and extra learning time on school breaks--can 
produce significant gains. AI provides a tutor equivalent for families 
that cannot afford tutors, who make up a significant portion of the 
families with underperforming readers.
    \32\ https://www.gatesnotes.com/The-Year-Ahead-2024
---------------------------------------------------------------------------
Ninth, the administrative cost of shutting down and starting up again 
        is high.
    The Federal government spent tens of millions to start up the 
program, as did the states, community groups and the Internet Service 
Providers (ISPs.) This includes $66 million in outreach grants to 
nonprofits, state, and local government, and others to assist in the 
sign-up process, a process that would have to be repeated if the 
program were to end and then in the future be brought back.
    To shut down will create massive confusion, a loss of trust, and 
other costs that are hard to pinpoint in terms of exact dollars.
    And there are certain elements of the program, such as having a 
national verifier, that cannot be duplicated easily in a world of 
voluntary ISP programs.
    And we can project that the biggest waste this program could have 
would be shutting it down now and then restarting in the future. For if 
there is one thing we should all be certain of it is that we will have 
to do this in the future, as connectivity becomes even more important 
for participating in the economy and society.
    In summary, losing the ACP will result in slower economic growth, 
increases in the cost of healthcare, education, job training and 
placement, and other social services, while decreasing the 
effectiveness of those services.
    Those trends are going to be felt even more in rural areas and in 
military families. And those trends will be exacerbated as AI becomes 
embedded in our economy and society.
Let us not take the greatest step backwards any country has ever taken 
        in terms of closing the digital divide.
    Let's adopt a clean ACP extension and then work hard to reform the 
entire Universal Service Program to put it on a sustainable basis.\33\ 
Let's grab the opportunity broadband creates to improve our economy, 
our society, and our future by making sure, as Congress wrote, that all 
Americans have the broadband access they need to fully participate in 
the economy and the society.
---------------------------------------------------------------------------
    \33\ In this regard, I am in complete agreement with the 20 House 
Republicans who wrote to Speaker Johnson last month asking for action 
on ACP, writing that ``We believe that bipartisan solutions are within 
reach to ensure uninterrupted access to the ACP while concurrently 
pursuing long-term funding strategies.'' https://
brandonwilliams.house.gov/news/documentsingle
.aspx?DocumentID=1787

    Senator Lujan. I appreciate that, Mr. Levin. Thank you very 
much.
    Dr. Winfree, you're recognized for five minutes.

 STATEMENT OF PAUL WINFREE, Ph.D., PRESIDENT AND CEO, ECONOMIC 
                    POLICY INNOVATION CENTER

    Dr. Winfree. Thank you very much, Chairman Lujan, Ranking 
Member Thune, members of the Committee. I was thinking about 
using my 5 minutes to sing ``Happy Birthday'' to Senator Welch, 
but I don't think anybody wants that, so.
    [Laughter.]
    Dr. Winfree. Like the development of canals and railroads 
in the 19th century and highways in the 20th century, access to 
affordable high-speed Internet will determine regional 
development, as well as America's ability to continue to grow 
by leading the world in innovation.
    Fortunately, policymakers have paid an incredible amount of 
attention to the issue of broadband affordability over the past 
decade. This has led to many new policies that we can use as 
guidance. These policies include deregulation, as well as 
subsidizing the demand for high-speed Internet and the supply 
of Internet service providers or ISPs.
    We have learned that deregulation and competition have 
reduced prices. We have also learned that policies subsidizing 
demand can increase prices if they do not fundamentally change 
the demand for high-speed Internet or the supply of ISPs. 
Experience has demonstrated that deregulation can produce 
significant gains for consumers, especially when it enhances 
transparency by increasing the scale on which providers can 
compete on price and the quality of services.
    One recent case of how deregulation reduced prices was in 
2017, when Congress nullified a rule enacted by the FCC 
regarding consumer data sharing. Before the FCC's 2016 rule, 
companies designed plans that allowed consumers to opt in or 
out of data sharing at different subscription rates. Those who 
chose to opt in paid lower rates than those who decided to opt 
out.
    But in 2016, the FCC enacted a rule requiring consumers to 
opt in.
    Congress nullified this rule using the Congressional Review 
Act process. The results created more options at different 
price points for consumers. The 2020 Economic Report of the 
President found that the CRA reduced wireless prices by more 
than 10 percent and wired prices by as much as 2 percent.
    At the same time, subsidizing demand can increase prices, 
especially when the unemployment rate is high and the 
underlying inflation rate is high as well--or excuse me, 
unemployment rate is low and the interval--and inflation rate 
is high.
    There are several ways that the Federal Government 
subsidizes the demand for broadband. One such program is the 
Affordable Connectivity Program, or ACP, which provides a 
monthly subsidy of $30 to low-income households, as well as a 
$100 one-time subsidy to buy a tablet, laptop, or desktop 
computer. Economic theory, as Senator Cruz mentioned earlier, 
would predict that a demand subsidy can act as a price floor, 
especially in a market where the demand and supply of a product 
remain relatively fixed. In this environment, the producer, in 
this case the ISPs, will caption a portion, if not all, of the 
subsidy.
    In a recent paper, I found that there is a positive 
relationship between the percentage of households receiving ACP 
subsidies and the increase in the average total monthly price 
for broadband. Importantly, I do not find any statistically 
meaningful association between ACP subsidies and prices when 
the level of households receiving subsidies is under 7 percent, 
but today about 15 percent of households across the country 
receive an ACP subsidy. That corresponds with an average 
increase of about 7 percent in the total cost of a monthly 
broadband subscription.
    These estimates do not change, even when factoring in the 
market concentration of ISPs. Based on the estimates in this 
paper, the average cost of broadband is about $5.48 per month 
higher because of ACP, implying that ISPs are capturing about 
18 percent of the total subsidy. If 40 percent of households 
were enrolled in ACP, as would be the case under the Biden 
administration's enrollment proposal, the average change in 
prices for plans would be about $9.39.
    We've seen how ISPs can offer choices to consumers and pass 
along savings through lower prices in a competitive market, 
when they are not heavily regulated.
    The same could be true under a more competitive market 
post-ACP. Subsidizing demand through ACP also makes consumers 
less sensitive to prices and quality. This advantages large 
existing ISPs who are more likely to have had existing market 
share when the program was created.
    If ACP funding were to become exhausted, companies would be 
encouraged to compete for consumers shopping for better plans. 
In fact, according to Communications Daily, most ISPs have 
already told their investors that when ACP ends, they don't 
plan to lose any money, because they will be competing on price 
and quality to attract consumers who are coming off of 
subsidized coverage. Just in the last week alone, we saw a 
major ISP offer a $9.95 plan that wasn't being offered again, 
before the exhaustion of ACP funding was on the horizon. 
Ultimately, this will benefit everyone by creating a more 
sustainable, affordable marketplace for high-speed Internet.
    Thank you very much, and I look forward to your questions.
    [The prepared statement of Dr. Winfree follows:]

Prepared Statement of Paul Winfree, Ph.D., President and CEO, Economic 
                        Policy Innovation Center
    Chairman Lujan, Ranking Member Thune, and Members of the Committee, 
thank you for inviting me to testify today.
    The issue of broadband affordability is critical to the success of 
the American economy. Like the development of canals and railroads in 
the 19th century or highways in the 20th century, access to affordable 
high-speed Internet will determine regional development as well as 
America's ability to continue to grow by leading the world in 
innovation.
    Fortunately, policymakers have paid an incredible amount of 
attention to the issue of broadband affordability over the past decade. 
This has led to many new policies that we can use as guidance on how to 
increase broadband affordability. These policies include deregulation, 
new regulations, as well as subsidizing demand for high-speed Internet 
and the supply of Internet service providers (ISPs).
    What we have learned from those different policies is that 
deregulation and competition have reduced prices. We have also learned 
that policies that subsidize demand, such as the Affordable 
Connectivity Program, tend to increase prices. This is especially true 
if they do not fundamentally change the demand for high-speed Internet 
or the supply of ISPs.
Deregulation Reduces Prices of High-Speed Internet
    Experience has demonstrated that deregulation can produce 
significant gains for consumers, especially when it enhances 
transparency, by increasing the scale on which providers can compete on 
the price and quality of services. One recent case of how deregulation 
reduced prices was in 2017 when Congress nullified a rule enacted by 
the Federal Communication Commission (FCC) regarding consumer data 
sharing.
    Before the enactment of the FCC's 2016 rule, ISPs could share 
consumer data with companies unless the consumer ``opted out'' of the 
data-sharing arrangement. Companies designed plans that allowed 
consumers to opt in or out of data sharing at different subscription 
rates. In essence, those who chose to opt-in paid lower rates than 
those who decided to opt out of data sharing. This is because companies 
would sell that consumer data and use it to reduce the price of 
Internet service.


    The FCC enacted a rule in 2016 that required ``opt-in'' to a data-
sharing model. However, Congress used the Congressional Review Act 
(CRA) process to cancel this rule in 2017. The 2020 Economic Report of 
the President, written by the White House's Council of Economic 
Advisers, found that the CRA overturning the FCC's rule requiring 
consumers to ``opt-in'' to data sharing reduced wireless prices by more 
than 10 percent and wired prices by as much as 2 percent (see Figure 3-
4 above from the 2020 ERP).
Subsidizing Demand Can Increase Prices for High-Speed Internet
    In December 2020, Congress passed the Consolidated Appropriations 
Act of 2021 (P.L. 116-260) that established the Emergency Broadband 
Benefit Program (EBB). EBB was a temporary subsidy of up to $50 per 
month. EBB was intended to help low-income households afford broadband 
Internet services amid the COVID-19 pandemic when most students were 
still engaged in remote learning. The initial appropriation for the 
program was $3.2 billion.
    In November 2021, the Infrastructure Investment and Jobs Act (IIJA 
or P.L. 117-58) made three significant changes to EBB. First, it 
eliminated the sunset of the program, which was set to coincide with 
the expiration of the COVID-19 pandemic. Second, it provided another 
$14.2 billion for the program. Third, it renamed EBB as the Affordable 
Connectivity Program (ACP).
    Like its predecessor, ACP provides a monthly subsidy of $30 per 
month to low-income households that purchase services from 
participating ISPs. ACP also provides a $100 one-time subsidy to buy a 
tablet, laptop, or desktop computer. There are currently 23.3 million 
households enrolled in ACP (based on data from February 2024).\1\ In 
other words, about 15 percent of all households in the U.S. receive a 
subsidy.
---------------------------------------------------------------------------
    \1\ Federal Communications Commission, ``Affordable Connectivity 
Program Enrollment and Claims Tracker,'' https://www.usac.org/about/
affordable-connectivity-program/acp-enrollment-and-claims-tracker/, 
(accessed January 3, 2024).
---------------------------------------------------------------------------
Why Might Have ACP Increased Prices?
    Economic theory would predict that a demand subsidy can act as a 
price floor, especially in a market where the demand and supply of a 
product remain relatively fixed. In this environment, the producer (in 
this case, ISPs) will capture a portion (or even all) of the subsidy.
    The FCC has said that a goal of ACP is to close the digital divide 
for low-income consumers. However, most ACP subsidies are going to 
households who already have broadband. FCC surveys have found that 
around 80 percent of ACP recipients already had broadband before the 
subsidy.\2\
---------------------------------------------------------------------------
    \2\ Federal Communications Commission reported to GAO that survey 
data showed ``. . .approximately 16 percent of respondents indicated 
they had no Internet access prior to enrollment in the ACP''; see GAO, 
Affordable Broadband: FCC Could Improve Performance Goals and Measures, 
Consumer Outreach and Fraud Risk Management, GAO-23-105399, https://
www.gao.gov/assets/d23105399.pdf. Also, see FCC's 2024 survey data 
which shows that 21.8 percent said they had no Internet service, and 
the remaining 78 percent had either home, mobile, or both services 
before ACP; see FCC, Measuring The Impact of the ACP: Survey Results 
Question 1, published Feb. 29, 2024, https://www.fcc.gov/sites/default/
files/ACP-Survey-Results.pdf
---------------------------------------------------------------------------
    The FCC has also tried to study the effect of losing ACP on 
Internet service. In a survey conducted earlier this year, the FCC 
reports that ``more than three-quarters (77 percent) of survey 
respondents say losing their ACP benefit would disrupt their service by 
making them change their plans or drop Internet service entirely.'' 
However, this is an inaccurate reading of the survey.\3\
---------------------------------------------------------------------------
    \3\ Federal Communications Commission, Measuring The Impact of the 
ACP: Survey Results Question 1, published Feb. 29, 2024, https://
www.fcc.gov/sites/default/files/ACP-Survey-Results.pdf
---------------------------------------------------------------------------
    The 77 percent referenced by FCC is derived by adding two responses 
together including the 29.3 percent of respondents who said that they 
would choose a different service and the 47.6 percent who said that 
they would choose a lower cost service. Only 15.7 percent said that 
they would drop their service with no alternative. This 15.7 percent 
that would lose coverage in the absence of ACP is very similar to the 
rate of new take-up in Internet service after the adoption of ACP based 
on other FCC data.
    One reason why it may not have increased demand is that the program 
is duplicative of other programs. For example, the FCC's Universal 
Service Fund Lifeline Program already provided a subsidy to low-income 
consumers for broadband services (i.e., the Lifeline subsidy is $9.25 
per month).
    There has also not been a significant increase in the number of 
ISPs that are associated with the ACP subsidy.\4\ This is not 
surprising given that ACP is a relatively small program, and providing 
Internet service requires significant fixed investments in capital and 
labor.
---------------------------------------------------------------------------
    \4\ According to IBIS data, the average growth rate in the number 
of ISPs has been relatively constant over the past several years.
---------------------------------------------------------------------------
The Potential Effect of ACP on Prices
    In a recent paper, I estimate the relationship between ACP 
enrollment in regional prices for high-speed internet.\5\ I find that 
there is a positive relationship between the percentage of households 
receiving ACP subsidies and the increase in the average total monthly 
price for broadband since 2022.\6\
---------------------------------------------------------------------------
    \5\ Paul Winfree, ``Bidenomics Goes Online: Increasing the Costs of 
High-Speed Internet,'' Economic Policy Innovation Center, January 8, 
2024, https://epicforamerica.org/publications/bidenomics-goes-online-
increasing-the-costs-of-high-speed-internet/.
    \6\ This is measured as the change in prices as a function of the 
percentage of households receiving an ACP subsidy.
---------------------------------------------------------------------------
    However, there is no statistically meaningful association between 
ACP subsidies and prices when the level of households receiving the 
subsidies is under 7 percent (see Figure 1). Today, about 15 percent of 
households across the country receive an ACP subsidy. That corresponds 
with an average increase of about 7 percent in the total cost of a 
monthly broadband subscription. These estimates do not change even when 
factoring in the market concentration of ISPs.
    The FCC finds that there is a nonlinear relationship between 
broadband speed and the price paid for different speeds. Figure 2 shows 
the relationship between ACP subsidies and prices for lower broadband 
speeds (measured as less than 20 Mbps in download speed). Here you can 
see that the proportion of households receiving an ACP subsidy is 
positively associated with prices for lower-speed plans. The change in 
prices is higher in states with a greater percentage of households 
receiving ACP subsidies relative to the price change for all plans. One 
possible explanation is that broadband service providers are marketing 
their lower-speed plans to those eligible to receive the ACP subsidy 
while raising the cost of these basic plans to capture larger 
proportions of the subsidy.




    Table 1 shows the average change in price for broadband plans that 
is associated with a percent of households receiving an ACP subsidy. 
Based on estimates in Winfree (2024), the average cost of broadband is 
about $5.48 higher because of ACP while broadband service providers are 
capturing about 18 percent of the total subsidy. If 40 percent of 
households were enrolled in ACP, as would be the case under the Biden 
Administration's enrollment proposal, the average change in prices for 
plans would increase by about $9.39 and 31 percent of the subsidy would 
be pocketed by broadband service providers.


    Table 2 shows the same estimates for lower-speed plans. Under 
higher levels of ACP enrollment, lower-speed plans will become more 
expensive with the broadband service providers able to capture larger 
portions of the total subsidy. This makes sense given that the ACP 
subsidy essentially operates as a floor for the prices of broadband.


    The Biden Administration has posited that ACP helps households save 
about $500 million per month on Internet bills. However, that 
calculation does not include the effects of ACP on prices for broadband 
services. Based on the estimates provided in this report, ACP likely 
reduces the monthly net cost of broadband by about $380 million for 
households who qualify for the subsidies after adjusting for the 
increase in prices. Once we factor in the price increase for all 
households (including ACP beneficiaries), ACP likely increases the net 
out-of-pocket cost of broadband that households pay by about $185 
million per month or $2.2 billion per year.\7\
---------------------------------------------------------------------------
    \7\ This is calculated using estimates from this report as well as 
data from the FCC and the U.S. Census Bureau.
---------------------------------------------------------------------------
Competition Will Make Broadband More Affordable
    In the case study on deregulation referenced above, we saw that 
when providers can compete on prices and services, they offer choices 
to consumers and pass along savings through lower prices in a 
competitive market. The same could be true under a more competitive 
market post-ACP.
    Today, a large portion of the ACP subsidies go to a fraction of the 
ISPs and are slightly more likely to serve urban areas. According to 
the FCC, for every rural household that receives an ACP subsidy, six 
urban households receive a subsidy.\8\ In other words, urban consumers 
were disproportionately served by ACP given 16 percent of the subsidies 
are going to rural households who make up nearly 20 percent of the 
population.
---------------------------------------------------------------------------
    \8\ https://www.fcc.gov/sites/default/files/%5b08-14-2023-
39%5dFCC_ACP_Infographic_v10
.pdf
---------------------------------------------------------------------------
    Subsidizing demand through ACP also makes consumers less sensitive 
to prices and quality. This advantages large existing ISPs who are more 
likely to have had market share when EBB and ACP were created. If ACP 
funding were to become exhausted, many companies would be encouraged to 
compete for consumers who would be shopping for better plans (as the 
FCC survey data referenced above shows). Most ISPs have told their 
investors that when ACP ends, they don't plan to lose any money.\9\ 
Other ISPs have reported to Communications Daily that they explicitly 
plan to compete on price and quality to attract consumers who are 
coming off subsidized coverage.\10\
---------------------------------------------------------------------------
    \9\ Matt Daneman, ``ACP's End Could Bring New Subscribers, 
Providers Tell Wall Street,'' Communications Daily, March 5, 2024.
    \10\ Ibid.
---------------------------------------------------------------------------
    There are also much better ways to subsidize demand than to provide 
payments through ACP which go directly to ISPs. For example, subsidies 
could be provided directly to households to be used on Internet service 
or other household items. Also, policymakers could look to the tax 
code. Some provisions are scheduled to expire at the end of 2025. These 
expiring provisions reduce the cost of capital (and increase domestic 
investment) and allowing the expirations to take effect would raise the 
tax liability for the average household qualifying for ACP by more than 
three times the amount of the ACP subsidy.\11\
---------------------------------------------------------------------------
    \11\ Author's calculations based on population making less than 200 
percent of the Federal poverty level using the Tax Foundation's 2026 
Tax Reform Calculator, found here: https://taxfoundation.org/data/all/
federal/tax-calculator-tcja-expiration/.
---------------------------------------------------------------------------
    The results in this testimony, along with data on how ACP is 
failing to close the digital divide, suggest that governments at all 
levels should focus on increasing the supply of Internet services to 
provide consumers with more access to lower cost services. Focusing on 
deregulation and competition avoids the costs associated with ACP which 
can raise prices for all consumers without meaningfully closing the 
digital divide. Deregulation and competition can also avoid the hidden 
costs of subsidizing demand with additional inflation fueled by deficit 
spending.

    Senator Lujan. Thank you, Dr. Winfree.
    I'm now going to recognize myself for five minutes of 
questions, and Ms. Nevarez, I'm going to begin with you. Again, 
thank you for traveling from New Mexico to be with us today, 
and for your work over many years to connect every New Mexican 
to broadband.
    Now Ms. Nevarez, yes or no, from what you have seen and who 
you have worked with on the ground, would students be 
negatively impacted by a lapse in the Affordable connectivity 
program?
    Ms. Nevarez. Absolutely, yes. I'll add in all capital 
letters.
    Senator Lujan. Would----
    Ms. Nevarez. Being a teacher at heart.
    Senator Lujan. Would veterans be negatively impacted?
    Ms. Nevarez. Yes.
    Senator Lujan. Would seniors be negatively impacted?
    Ms. Nevarez. Yes.
    Senator Lujan. Would those who live in our tribal 
communities be negatively impacted?
    Ms. Nevarez. Yes.
    Senator Lujan. Would those who live in rural areas be 
negatively impacted?
    Ms. Nevarez. Yes.
    Senator Lujan. I appreciate those responses.
    Now Ms. de Wit, can you please briefly provide a 
perspective from your research on which populations will be the 
most affected?
    Ms. de Wit. At this point, the--at this point, we know that 
nearly one-fifth of ACP households include seniors age 65 and 
older. And based on the research that we can do, we know that 
any changes to the program will have an adverse effect on 
Americans over 50 as well as veterans.
    What I would add is that we need better data and more 
transparency on enrollment, and about the trends in population, 
in order to fully understand how changes to the program would 
have a negative effect on the vulnerable households that it's 
attempting to serve.
    Senator Lujan. Appreciate that.
    Mr. Levin, you noted in your testimony that the digital 
divide puts strain on our health care system. You also noted 
that the Affordable Connectivity Program not only helps people 
access their health care online, but also the increased use of 
telemedicine creates enormous cost savings for our health 
system.
    You referenced a study by the University of Pennsylvania 
that telemedicine was 23 percent less expensive for health 
systems to deliver, compared to in-person visits. Many of the 
most vulnerable populations who utilize the Affordable 
Connectivity Program are also participants in Medicare or 
Medicaid, or are veterans who receive their health care through 
the VA. So that 23 percent savings is a significant cost 
savings for the government.
    Mr. Levin, from your research, from what you've seen, is it 
possible that the economic benefit of the Affordable 
Connectivity Program to the health care system are greater than 
the cost of the government--of administering to the government, 
than administering the program?
    Mr. Levin. I'm not a health care economist, but I believe 
the answer to be yes. And if it's not true today, it's going to 
be true sometime in the very near future.
    What we saw immediately in the wake of the pandemic was 
that health care started accelerating its movement to 
telehealth. I believe in February 2020, one percent of Medicare 
care visits were over telehealth. In April, it was like 70 
percent.
    That was inevitable, but it started to accelerate, and then 
efficiencies grow in. So it's almost inevitable that if not 
today, at some time in the near future, Internet access can 
actually save money for those programs.
    Senator Lujan. So on that same note, do you believe that 
between health care, employment, and education, investing in 
the Affordable Connectivity Program may actually result in a 
cost savings, a net cost savings to the government?
    Mr. Levin. Yes. And for example, in the job training and 
job placement, we find that people who have Internet access get 
jobs faster, as you would expect. And then they spend less time 
on unemployment. Besides savings to the government.
    Senator Lujan. I appreciate that.
    Now, Ms. Nevarez, you noted in your testimony that without 
the reliable customer base that the Affordable Connectivity 
Program also provides, some of New Mexico's small local 
Internet service providers or ISPs are at risk of going 
bankrupt. When a small local provider in a rural area in New 
Mexico goes bankrupt, what happens to their customer base? And 
can--can they just find a new provider?
    Ms. Nevarez. Actually, it depends, but generally, the 
customers lose service. And in rural New Mexico, finding an 
alternate provider is very difficult.
    Actually, these networks didn't exist. If they were easy, 
we would have built them already. So when a small rural 
community builds a network, there's often no competition, or 
little to no competition. So for those small providers, if they 
go bankrupt or fail, those customers lose service. And 
oftentimes, the small government offices, the local regional 
government offices, and community anchor institutions that also 
use that network fail.
    And I would add as well, in New Mexico, we have 22 tribes 
that are building their own networks. Not only do they build 
them, they are running them. And they have trained local 
community members.
    So the local workforce also loses out. Because those 
community members who've been trained as fiber technicians, 
those jobs go away, and those community members either have to 
find an alternate job, and rural New Mexico, it's not always 
easy. They have to travel further or move to the city.
    Just a shout-out, our state has been tenaciously working on 
that. And we're proud to report over 200 fiber optic 
technicians, with 80 percent of them being Native or Hispanic, 
have been trained in the last 2 years to run their own 
networks. 70 percent of those had some college but no college 
degree. It's very exciting.
    Senator Lujan. I appreciate that.
    Next, we will hear from Senator Vance. Senator Vance, 
you're recognized for five minutes for your questions.

                STATEMENT OF HON. J. D. VANCE, 
                     U.S. SENATOR FROM OHIO

    Senator Vance. Great. Thank you, Mr. Acting Chair. I 
appreciate you.
    And I appreciate all of you for being here. I wanted to 
sort of focus my questions on, you know, the--the sort of 
economic impacts from the consumer's perspective, but also from 
the government's, and also the sort of the businesses that are 
investing in broadband infrastructure.
    And Mr. Levin, I'd like to direct my questions to you. So, 
you know, I--in your written testimony, you described the 
positive impact on employment rates from discount Internet 
plans. And you sort of explained how greater labor force 
participation and so forth comes from, you know, having access 
to high quality broadband.
    And I know that's an issue, especially in our rural 
communities. But of course, it's--it's an issue in a lot of 
different communities as well. I'd like to sort of understand, 
how do you think about the cost savings? Right? The--one of the 
biggest challenges that we have when it comes to re-funding the 
ACP program and reauthorizing it, which I--I support, is, you 
know, of course, the pushback that we are in sort of tight 
budgetary times. We have to think about how to save money in 
this town, which is something we do far too little of.
    Could you just help me think about the economic upsides of 
the ACP program, as you understand it? What--what do we gain 
from investing in this program?
    [Technical issue.]
    Mr. Levin. There are multiple different ways of thinking 
about it. I cited in my oral testimony a study by a Google 
economist who talked about consumer surpluses in 2013 being 
$500 per user. That number undoubtedly has gone up. And if you 
look at the study, there are just all kinds of different ways 
in which savings of time. I think all of us have experienced 
the Internet is able to do certain things to speed up--able to 
shop, able to determine the most--the cheapest option for a 
product that we want. There are those kinds of savings that 
accrue directly to an individual.
    But what we also see is, particularly in terms of the 
government, which is in a way sharing in those costs, in the--
in the case of telehealth, there are very direct savings. 
Because if you save one emergency room visit by having the 
person come on broadband and talk to someone, and if--and if 
they turn out not to go to the emergency room because they 
don't really need to, I believe that's like a $3,000 savings. 
And in terms of time.
    I mentioned earlier, in terms of job training and 
placement, there's direct benefit to the government, not just 
to the person, but to the government.
    I think if we look at education, and my God, what AI is 
going to do to education, I'm very excited about it, I think 
it's going to be great. But if the very people we most want to 
be able to use those tools to learn how to read, and reading 
scores in fourth grade are a great predictor of economic 
success later on in life, that's another version of those kinds 
of savings.
    Senator Vance. So Mr. Levin, have you ever done any sort of 
analysis of the--of the net benefit? So if you take, for 
example, a dollar spent on the ACP, you know, what is--what is 
the benefit in terms of government savings from things like, 
you know, Medicare, diverting people into telehealth, which 
saves a lot of money, but also consumer upside? Have you ever 
sort of tried to understand the net effect of, you know, the 
given amount that we spend on the ACP?
    Mr. Levin. Yes. Others are much better than that, better--
better than me at that. My--my friend and probably the leading 
expert on that kind of data is a guy named John Horrigan, who 
estimated that for every dollar spent, there's $2 of gain to 
the individual.
    There was a study that said for every dollar spent on ACP, 
we get a $3.89 increase in GDP.
    I have not done a comprehensive, nor do I believe there is 
a comprehensive study on----
    Senator Vance. Sure.
    Mr. Levin.--health care. I sure wish there was.
    Senator Vance. Yes.
    Mr. Levin. I think it's something which the government 
should do.
    But it's really about a kind of a larger trend in which we 
take advantage of this incredible opportunity to rethink how we 
deliver services.
    Senator Vance. Yes.
    Mr. Levin. And there's almost no doubt----
    Senator Vance. Yes.
    Mr. Levin.--when--that particularly when we come to health 
care, you'd see a benefit.
    Senator Vance. Great. Yes, I'd--I'd of course be very 
interested in that too.
    So--one just final question is, you know, when I talk to, 
you know, obviously we talked about the consumer side of this 
and the government side of this. When I've talked to a number 
of businesses who invest in rural broadband, and obviously 
it's, you know, very expensive to lay a mile of fiber----
    Mr. Levin. Right.
    Senator Vance.--in southeastern Ohio----
    Mr. Levin. Mm-hmm.
    Senator Vance.--compared to central Ohio, where it's a lot 
more densely populated, the terrain's a little bit, you know--
--
    Mr. Levin. Mm-hmm.
    Senator Vance.--less tough and so forth. You know, one of 
the things that sort of justifies the very large capital 
expenditure of that infrastructure is knowing that there are 
going to be customers on the other end. And that's something 
that the ACP program ensures. Could you speak to sort of that 
economic benefit a little bit?
    Mr. Levin. Yes. BCG did a study which suggests that the 
BEAD dollars go 25 percent further if you have ACP, for 
precisely the reason you just said. That if you have a 
guaranteed population that you know is going to pay, and 
they're going to pay on a regular basis, and one of the 
mistakes people make is they say only 22 percent had--didn't 
have broadband. Actually, there were a lot of people who were 
on broadband and off broadband. That's the largest group.
    Senator Vance. Sure.
    Mr. Levin. But if you know you're going to have that 
population, you need less of a government subsidy to build out 
that network.
    Senator Vance. Yes, and I'm--I'm mindful of my time here, 
so--so I'll yield. But just one observation, you know, 
anecdotally, which is not always data, but I do think it's 
useful, is I talk to a number of folks who have invested a lot 
in rural broadband infrastructure in the state of Ohio who have 
told me straightforwardly they would not have made that 
investment if not for the existence of the ACP program. So I 
think something important for us to keep in mind as we think 
about how to build out the 21st century digital infrastructure 
for our country.
    So thanks, Mr. Chair. I appreciate it.
    Senator Lujan. Thank you very much.
    Next, we'll hear from Senator Klobuchar. You're recognized 
for five minutes.

               STATEMENT OF HON. AMY KLOBUCHAR, 
                  U.S. SENATOR FROM MINNESOTA

    Senator Klobuchar. Thank you very much, Chair, and thank 
you for the work.
    Happy birthday to Senator Welch. Nice day for a birthday. I 
want to actually thank him and, to Senator Vance for their work 
on making sure that we continue getting funding for the 
Affordable Connectivity Program Extension Act. And we all know 
this is an ongoing problem right now, and that Chair Cantwell 
has been working to include this funding for ACP.
    So I think it's really important to make the case that I 
know you have all been doing throughout this hearing about what 
this means. And I want to focus especially on some of the 
issues in rural America in my state right now.
    So we know that rural communities are particularly in need 
of support to make broadband available at affordable prices. 
I've heard from first grade teachers, we had during the 
pandemic, some of the numbers were 20, 30, 40 percent in some 
of our counties that while some of the kids were able to 
access, including community college classes via the Internet, 
other ones just were given paper and pencil and their, like, 
workbooks every single day. It was a complete disconnect.
    Mr. Levin, do you agree that programs like ACP can help 
incentivize providers to serve high-cost areas?
    [Technical issue.]
    Mr. Levin. Five percent differential.
    Senator Klobuchar. And Ms. de Wit, you note that the 
challenge of building out broadband networks is distinct from 
making sure consumers can afford to access those networks. Can 
you discuss how the expiration of ACP could impact the 
investments that we're making in broadband infrastructure?
    Ms. de Wit. Absolutely. And what we know to be true is that 
right now, households that are unserved are currently the most 
expensive and difficult to serve. For example, the cost per 
passing in Minnesota using capital project dollars is $7,300 
per location.
    Without ACP, our BEAD connections will be even more 
expensive, so we will see the increase of those costs per 
passing move up without that ACP support. Rural providers, 
particularly those in Minnesota who have been the backbone of 
ensuring robust and affordable connectivity throughout the 
state, simply may not be able to shoulder the cost, both of the 
capital deployment as well as the operations without that 
subsidy.
    Senator Klobuchar. Exactly. Thank you.
    The--I mentioned education. There was one mom in Sibley 
County, Minnesota, who told us that she's worried her kids 
aren't going to be able to complete their homework if she can't 
get the access.
    And Mr. Levin, you note that students without home Internet 
have lower grades and complete homework less often. Talk about 
why ACP is important to get at that?
    Mr. Levin. That was a study that came to that conclusion, 
but it makes total intuitive sense that--my sister actually was 
a school teacher, and many years ago she kind of blamed me for 
the fact that half of her students had Internet and half of her 
students didn't, and it was a really big problem for her. And 
that's a problem we're going to see if ACP goes away.
    It's just that as all of us do, when we are writing various 
things or trying to solve various problems, we now depend on 
the Internet to give us the information we need. It also helps 
in writing in a variety of ways. So the students are no 
different than the rest of us in that regard.
    Senator Klobuchar. Thank you.
    Ms. Nevarez, can you discuss how you've seen affordable 
Internet open up educational opportunities in your work leading 
the community learning network?
    Ms. Nevarez. I am actually a certificated teacher, so 
learning is important. In our state, when COVID hit, many 
students were struggling. We actually had students, like you 
mentioned, on--on paper and pen or trying to do homework with a 
cell phone.
    In our case, many of----
    Senator Klobuchar. It sounds like a lot of the senators, 
but----
    Ms. Nevarez. It's----
    Senator Klobuchar. --continue on.
    Ms. Nevarez. Yes.
    [Laughter.]
    Ms. Nevarez. I think the--the best thing is to share the 
example, would you want your own children, whether they're in 
middle school, high school, college, to have to do their term 
papers with old-fashioned encyclopedias, or be able to compete 
by accessing information and participating online?
    Every one of us use these tools daily. We're used to it, 
and we don't realize how difficult it is. In our state, without 
home access, and for many of our communities, without the 
income to afford it and to have reliable and affordable 
Internet, they can't do a class online. Zoom calls take 
broadband strength. And they're driving to the community anchor 
institutions to sit in a hot car, or a cold car if it's 
snowing, to try to compete with their fellow classmates and to 
complete assignments.
    Senator Klobuchar. OK. Thank you.
    And thank you, Mr. Chair, for all your work in this area as 
well, and leadership.
    Senator Lujan. Thank you, Senator Klobuchar.
    Next, we're going to hear from the Ranking Member of the 
Full Committee, Senator Cruz.
    Senator Cruz. Thank you, Mr. Chairman.
    Dr. Winfree, you note in your testimony that one proven way 
to promote broadband affordability is through competition. 
According to a recent study by Econ One, competition from 5G 
fixed wireless service and home broadband markets was shown to 
produce billions per year in consumer savings.
    These are precisely the competitive benefits that the 
Spectrum Pipeline Act, which I introduced in partnership with 
Senators Thune and Blackburn, would provide. Unfortunately, 
instead of expanding access to mid-band spectrum and promoting 
competition from wireless services, the Biden administration 
has engaged in anti-competitive technology bias while stalling 
out on spectrum.
    Dr. Winfree, in your judgment, how would my Spectrum 
Pipeline legislation compare to the ACP in promoting long-term 
broadband affordability?
    Dr. Winfree. Spectrum auctions would increase competition 
and bring more folks into the market. We would have more ISPs 
doing more cool things with them, which would ultimately reduce 
prices.
    Senator Cruz. And lower prices, in turn, benefits 
consumers.
    Dr. Winfree. That's right. Benefits everybody.
    Senator Cruz. And higher prices, which the ACP has 
produced, that's hurting consumers. Is that right?
    Dr. Winfree. That's right. I mean, one of the issues with 
ACP is that it's a one-size-fits-all policy. It's a $30 monthly 
subsidy regardless of where that person sits.
    And one of the things that we've seen is that ACP has 
predominantly covered folks living in urban areas relative to 
rural areas. So ACP is not a solution for rural areas, assuming 
that--that rural broadband connectivity is an issue, which I 
think that it is. And I think that there's a lot that we can 
ultimately do there.
    Which begs the question, well, why don't we use this as an 
opportunity to reform ACP?
    Senator Cruz. Well, and I'll--millions of people across 
Texas and across the country are hurting from inflation. 
Inflation that has been galloping in the last three-and-a-half 
years, particularly when Democrats had unified control of 
Congress and the White House, where they spent trillions of 
dollars we didn't have. They printed money we didn't have. They 
borrowed money from China we didn't have. They're producing 
inflation that is hurting working families across the country. 
And we now have Democrats coming back saying we want to spend 
billions more, even though it will fuel inflation and it will 
drive up the cost for consumers across the board. Is that 
right?
    Dr. Winfree. That's right. So there are two ways that ACP 
affects prices. The first way that it affects prices is by 
setting, essentially, a price floor for plans.
    What my research shows is that that predominantly hits, 
again, urban areas. So what we saw before ACP is a bunch of 
plans that were, say, 20 up, 20 down, $10 a month. Those went 
away during ACP. Right?
    So the--the speed levels went up moderately, but the price 
level went from $10 to $30, because that's where the ACP 
benchmark is. So all those cheap plans went away.
    And then the second way that ACP affects inflation is 
through government--through government spending. I mean, right 
now we've seen, you know, we're--we live in an economic 
environment where the Fed is having a really difficult time 
getting inflation under control. Interest rates on short-term 
debt are five-and-a-half percent. And so every dollar that is 
spent by the Federal Government is ultimately inflationary 
right now.
    Senator Cruz. So and are consumers better off at being able 
to get broadband at $10 or $30?
    Dr. Winfree. $10.
    Senator Cruz. It's pretty remarkable. All right, let's 
shift to another topic.
    Dr. Winfree, in your testimony, you raised that there are 
other low-income broadband subsidies in addition to ACP. In 
fact, as we've heard, there are multiple taxpayer subsidies for 
Internet connectivity. GAO recently identified over 130 of 
them.
    The longest standing of these are the Universal Service 
Funds programs at the FCC.
    Dr. Winfree. Mm-hmm.
    Senator Cruz. I don't think we would be having this 
conversation about broadband affordability if the FCC were 
properly managing the Universal Service Fund programs.
    Dr. Winfree, aren't some of these FCC programs demand-side 
subsidies? And--and what do these programs spend on a yearly 
basis?
    Dr. Winfree. Sure. They're both demand-side subsidies, and 
then they're also supply-side subsidies. So there are four main 
programs. There's Lifeline; the High Cost Program; Schools and 
Libraries, or--or E-Rate; and then Rural Health Care. And 
together, those four programs spend about $9 billion a year.
    Senator Cruz. And yet, according to at least some members 
of this committee, the FCC needs yet another program. Why not 
fix the current programs and take the lessons the ACP has 
learned and apply them to making sure the funding we actually 
have works? This is what I proposed in my blueprint for 
Universal Service Fund reform.
    In your view, Dr. Winfree, what changes should Congress 
consider making to ACP and the Universal Service Fund before 
adding additional funding to any of these programs?
    Dr. Winfree. Sure. I think there are a number of reforms 
that can be added. I mean, we can learn from the experience of 
the Affordable Care Act, Obamacare. Premium tax credits went to 
low-income individuals, and we learned that folks who were 
receiving those tax credits shouldn't have actually been 
receiving those tax credits.
    And so one of the things that--that Congress can do is it 
can--can learn from that experience to actually recapture ACP 
funds that should be used for low-income populations. It's 
probably going to folks who are making much more than two times 
the Federal poverty line.
    Another option that the FCC IG has explored is requiring 
Social Security numbers for the receipt of ACP benefits to make 
sure that, again, folks who are entitled to the program are 
actually receiving the benefit, and that the benefits are not 
going to folks who--who shouldn't--who shouldn't be receiving--
receiving those benefits.
    But, you know, as I mentioned before, ACP's--one of ACP's 
main problems is that it's this universal program. It's a one-
size-fits-all issue. And if ACP funding should expire and 
Congress should begin thinking about how to reform some of 
these underlying programs, it needs to take those regional 
differences into account, right? The issues that we see in New 
Mexico versus Minnesota versus Texas are--are all different, 
and these one-size-approaches just don't work. We've learned 
that time and time again.
    Senator Cruz. Thank you.
    Senator Lujan. Thanks, Senator Cruz.
    Next, we'll hear from Senator Peters. You're recognized for 
questions.

                STATEMENT OF HON. GARY PETERS, 
                   U.S. SENATOR FROM MICHIGAN

    Senator Peters. Well, first off, I just want to thank our 
witnesses. Thank you for being here today.
    And I also want to thank Chair Lujan. Thank you for holding 
this hearing.
    And I think this hearing is extremely timely, because 
almost one million Michigan households are on the precipice of 
losing the Affordable Connectivity Program, which was passed by 
Congress two years ago, and as we all know, it helps eligible 
families afford the Internet.
    And in today's world, the Internet is--is not a luxury, 
it's--it's a necessity. And it's one that should be affordable 
to all Americans. And I believe that Congress must do its job 
and fund this critical program as soon as possible, or 16 
percent of American households are going to face Internet 
shutoff or rate hikes.
    And as a supporter of the Affordable Connectivity Program 
Extension Act, I'm going to keep fighting for funding, and I 
challenge all my colleagues, including those on the other side 
of the aisle, to--to do the same.
    Ms. de Wit, my first question is for you. In your 
testimony, you mentioned how the Affordable Connectivity 
Program is closely linked to the state's ongoing plans for BEAD 
deployment. My state of Michigan received nearly $1.6 billion 
in BEAD funding, the fourth-highest allocation in the nation, 
to close the digital divide and to bring high-speed Internet to 
every corner of Michigan, which is both urban, suburban, and 
vast tracts of rural areas as well.
    Ms. de Wit, can you speak to how it would impact the BEAD's 
program ability to reach every underserved and unserved 
location if ACP is lapsed? And--and additionally, do you think 
that ACP's lapse could impact BEAD participants' decisions as 
to where to apply for funding, and how far they can reach with 
their proposed projects?
    Ms. de Wit. I'll answer your second question first, which 
is, yes. I do believe that ACP's lapse would affect an Internet 
service provider's decision to participate in BEAD, because 
they have said that. And that's why it's important to ensure 
that we provide Internet service providers with that certainty.
    With respect to the BEAD program writ large, in short, we 
need every single dollar to connect unserved and underserved 
Americans across this country. As you outlined, Michigan is one 
of the states that has a complicated problem ahead of them. And 
thankfully, it has a very well-run broadband office and a 
strong strategy.
    But I think that the important consideration is that BEAD 
and ACP were designed to work together. They are designed to 
work in tandem to defray the costs of building networks, 
whether we are looking at urban, rural, or suburban 
communities. And because Congress requires ACP to participate 
in--requires ISPs to participate in ACP to receive BEAD 
funding, this means that we are providing them with a surety of 
a guaranteed customer base, decreased churn, and long-term 
retention.
    Senator Peters. Very good. Ms. De Wit, as you well know, 
the Universal Service Fund has long been a tool for connecting 
Americans to voice service and to broadband access. However, 
the USF has not been modernized to account for today's needs 
related to universal broadband service.
    And I'm a--I'm a proud member of the bipartisan USF working 
group, led by Senators Lujan and Thune. And we have made 
progress toward a long-term bipartisan solution that will 
enable the USF to support broadband accessibility and 
affordability for all consumers.
    And one of my top priorities as a member of this working 
group with Chair Lujan is to find a long-term sustainable 
funding mechanism for ACP so Americans never have to face 
another program cliff like the one that we have right now. We 
have enough cliffs that we have to deal with. We don't need 
this one as well.
    So my question for you is, can you speak to the importance 
of finding a way to sustainably fund ACP in the long term, such 
as through modernizing the Universal Service Fund?
    Ms. de Wit. Well, Pew does not have research on solutions 
for the modernization of the Universal Service Fund at this 
time. We do know that it is needed, and it is needed for all of 
the reasons that you just outlined, which is why we appreciate 
the work of you and others on that bipartisan and bicameral 
working group to identify one, including incorporating the ACP 
into that program.
    However, Universal Service reform will take time. It will 
take time to come to agreement, and moreover, it will take time 
to implement. We don't have the luxury of time at this moment. 
ACP is running out of money, and BEAD--potential BEAD 
participants, states, ISPs, communities, we are putting their 
connectivity solutions at risk by delaying, which is why we ask 
that you provide the bridge to ACP today and continue work on 
USF in the future.
    Senator Peters. All right. Well, thank you for your 
answers.
    Chair Lujan, thank you so much.
    Senator Lujan. Thank you very much, Senator Peters, and I 
want to thank Senator Capito as well.
    Mr. Welch, you'll be recognized next for five minutes. 
Thanks for getting here early.

                STATEMENT OF HON. PETER WELCH, 
                   U.S. SENATOR FROM VERMONT

    Senator Welch. Thank you very much.
    You know, we have got an urgent, immediate situation that 
has to be addressed, and that's the expiration of the ACP. And 
there are two points that I want to make.
    Number one, every witness here has acknowledged that the 
debate about whether everybody needs the Internet is over. It 
is over. And a lot of us, Ben Ray, you and I, were arguing pre-
COVID for rural America to get Internet. just like rural 
America got electricity in the 1930s.
    That was not an economic decision that was made, because it 
didn't have business sense to have our companies extending 
electricity in rural areas where there wasn't a big return, but 
it was a social decision. And we made that, and a lot of us 
were pushing for it.
    When COVID came, it made the case for us, because you 
couldn't go to work, your kids couldn't do homework, you 
couldn't get a medical appointment. And this Congress, on a 
bipartisan basis, really put enormous money into building it 
out.
    That doesn't do any good for folks if they can't get 
connected to it. And I've listened to the--so that's number 
one. We've got to have it. We've got to have it, and we all 
know that. And that's a red state or blue state. It just 
doesn't matter. The citizens we represent need it.
    Second, there are a lot of folks who are on the margin,. 
And the ACP, if it goes out now, a lot of those folks are going 
to have to make very tough decisions. You know, example in 
Vermont, some woman making $15,000 with two kids, single 
parent, she has got a hard job trying to figure out how to make 
ends meet, and has to make real sacrifices, sometimes in the 
food budget. But she'll do it, because she wants her kid to be 
able to do the homework.
    Or a grandparent who wants to stay in touch with 
grandchildren or their kids. And we've heard very compelling 
arguments about some of the reforms that we should make. 
Senator Capito has been a big advocate of that. And I agree 
that those of us who advocate for a program have an obligation 
to kick the tires, check it out, make reforms, so that the 
intended purpose is what's being served, and it's not being 
gamed.
    So I, for one, who am a strong proponent of the Affordable 
Connectivity Program, pledge to work with my colleagues, 
Republican and Democrat, to make it better.
    But we're not there yet. And what we can't do, Mr. 
Chairman, as you so assertively state, is let this expire. 
Because there are four million veterans who depend on this, 
there are a lot of seniors who depend on it, and the economic 
arguments that we're having back and forth, they're real, we've 
got to deal with them, and some of those, Dr. Winfree, we can--
I can accept. But we can't let this expire. And that's what's 
happening.
    So my hope, Mr. Chairman, is that all of us work hard 
together to try to get at least the short-term fix, while the 
work you're doing, leading the universal--the--the working 
group, comes up with a longer-term solution.
    So I just want to express my gratitude to the witnesses 
here. But I also want to express my enormous apprehension that 
this Congress may fail by letting this expire, rather than 
continue it while we work out the change--the long-term changes 
that are needed for sustainable access.
    Thank you. I yield back.
    Senator Lujan. Thank you, Senator Welch.
    Senator Capito, you're recognized for your questions.

            STATEMENT OF HON. SHELLEY MOORE CAPITO, 
                U.S. SENATOR FROM WEST VIRGINIA

    Senator Capito. Thank you. Thank you, Mr. Chair.
    I--before I ask the questions, I would like to take a 
moment to express my disappointment with how the markup went, 
or should I say more accurately, did not go yesterday.
    I have worked with my colleague, Senator Klobuchar, on my 
Rural Broadband Protection Act beginning last Congress. It's a 
common-sense bill that will help USF High Cost projects across 
our country. It has been sitting in this committee since the 
beginning of this Congress, and after working to improve the 
bill, my substitute amendment was cleared to be marked up both 
by the majority and the minority back in November.
    I urge the Chair, through you, to schedule a legislative 
markup this work period so that my top broadband policy 
priority can be considered. I would appreciate you--we'll--
we'll talk to the Chair and Ranking Member about that.
    So moving to my questions, Ms. De Wit, I know that many 
states, and I think you've gone through this, and I caught the 
tail end of you mentioning it to Senator Peters. West Virginia 
was the second state that actually got their Part 2 BEAD plan 
Okayed, and we're very excited about that. But can you describe 
the impact on BEAD programs, because we have part of the 
Affordable Connectivity Plan as part of our deployment plan, 
how this will affect if the ACP does not get affected--or 
funded?
    Ms. de Wit. Yes, and thank you for the question, Senator 
Capito, and for your ongoing work to continue supporting the 
program, including for robust discussions about potential 
reforms.
    Right now, let me just draw attention to the current costs 
per passing that were shared from West Virginia's Capital 
Projects funds, and that's $4,200 per location. What research 
from the Boston Consulting Group has found that without the 
BEAD subsidy, we will see a $500 per location differential on--
--
    Mr. Levin. Without the ACP?
    Ms. de Wit. Sorry, yes. Without ACP. Sorry, excuse me.
    So the Boston Consulting Group study found that without 
ACP, the cost per passing may increase by $500 per location. So 
what we can assume from this is that the cost for deployment in 
West Virginia will increase without ACP available.
    Senator Capito. Does the--is that--what did you say, 
$4,200?
    Ms. de Wit. Yes, ma'am, that--but that's with the Capital 
Projects Fund, what the state has spent, and that includes 
significant matching funds from Internet service providers as 
well, so.
    Senator Capito. Right. I've been told, and I can see, 
living in such a beautiful state with lovely mountains, but 
hard rocks in between, that that--that the cost to build in our 
state, obviously, for fiber is--is much greater. How does that 
$4,200 stack up? I'm just curious to know. Is that high as High 
Cost?
    Ms. de Wit. I would need to get back to you to quote the 
specific numbers, but yes. That is--the numbers are high, and 
of course, the cost per location passing is going to depend on 
a number of factors, including the topography, as we are----
    Senator Capito. Right.
    Ms. de Wit.--all familiar with West Virginia----
    Senator Capito. Right.
    Ms. de Wit.--but also density of population.
    Senator Capito. OK. Dr. Winfree, one of--I mean, I've been 
alluded to as the one who wants to be the reformer, and I--I 
couldn't be more passionate about this. I mean, just--I think 
it was this week, earlier this week, the president of a local 
Internet service provider said that he was informed that he's 
eligible for the $30 a month because of the way it's--the 
school lunch program in our state makes everybody eligible.
    I mean, it cannot possibly be true that 23 million people 
really need this. We've got to narrow it down to the need. I'm 
supportive of the program. Could you respond to that?
    Dr. Winfree. I think that's exactly right. I mean, as I 
mentioned earlier, ACP is fundamentally not a--not a program 
for rural areas. It is a program for urban areas. Most ACP 
recipients live in urban areas, even after you adjust for the 
fact that most people live in urban areas. And the challenges 
that people have in both urban versus rural areas are very 
different, as you are an expert on representing the great state 
of West Virginia.
    That said, like other government programs as well, I mean, 
I referenced in my responses to Senator Cruz, we had a similar 
challenge with the Affordable Care Act. There are premium tax 
credits that people get to help them afford private health 
insurance, and we--we learned very quickly that there were 
millionaires who were receiving those premium tax credits----
    Senator Capito. Right.
    Dr. Winfree.--for lots of different reasons.
    And so there needs to be a reconciliation process to make 
sure that the--the funds are targeted in the best way and that 
both urban--there's an urban versus rural adjustment.
    Senator Capito. Well, yes, I would be interested in the 
urban and rural adjustment. I just think that--I understand the 
urgency and the--and the expiration, and instead of $30, I 
understand it's $14. I don't know how long that's going to 
last. Does anybody know what the long--yes?
    [Audience interruption.]
    Senator Capito. One month. So, you know, ostensibly not 
long, not long at all. We've known this was coming. We've been 
talking about reform for a year. I don't know why we have to be 
pressed now to move forward to a way over-expansive program 
that is being, is going toward people that, some people that 
don't need it, so--because it just, it's not fair to the people 
that do need it. Because it calls into question what's going to 
happen with the entire program.
    So I would--I would ask my colleagues to listen to experts 
on the panel here to figure out a way that we can do both of 
these things. And I think we can and meet the challenges. 
Obviously, I'm in a state that has economic challenges. We have 
some of the lowest broadband deployment in the entire country, 
you know, and I think it's--the digital divide, you can see it 
all over our state with economic development, education 
progress, health care outcomes.
    And so I am very passionate about getting to the last house 
and to make sure that everybody has equal access, but that they 
can afford it at the same time. So I thank you all for what 
you're doing.
    I appreciate, Mr. Chairman, the chance to address the 
panel. Thank you.
    Senator Lujan. Thank you, Senator Capito.
    Senator Warnock, you're recognized for questions.

              STATEMENT OF HON. RAPHAEL WARNOCK, 
                   U.S. SENATOR FROM GEORGIA

    Senator Warnock. Thank you so very much, Chairman Lujan.
    I'm extremely disappointed that politicians in Washington 
allowed the Affordable Connectivity Program to completely run 
out of funding this week. This program is critical for helping 
720,000 Georgians afford the Internet, particularly rural 
Georgians and older Georgians often say that broadband is to 
the 21st century what electrification was to the 20th century. 
And as you watch Washington dally around something so 
important, one way of thinking about it is, it's as if we were 
wondering whether or not people need electricity. Is it that 
fundamental or is it something extra?
    So hundreds of thousands of Georgians are about to start 
seeing their Internet bills shoot up this month because some of 
my colleagues refused to fund this important program.
    But the Affordable Connectivity Program is not just a tool 
to close the digital divide, as important as that is, and 
increase our global connectivity. It's also a health care 
lifeline for hundreds of thousands of Georgians, particularly 
rural residents, veterans, service members, and seniors across 
the country. This is especially true in a state like Georgia. 
According to a recent study, military families make up nearly 
half of the households that benefit from the ACP.
    Mr. Levin, does the ACP help veterans and military families 
access critical health care services?
    Mr. Levin. There have been a number of studies to 
demonstrate that.
    Senator Warnock. Absolutely. And in your testimony, Mr. 
Levin, you cite two studies, one from the Department of 
Veterans Affairs, showing that veterans who use telehealth 
emergency services were half as likely to make a costly trip to 
an emergency department. So----
    Mr. Levin. That's right.
    Senator Warnock.--as is often the case, the right thing to 
do here is also the smart thing to do. We know that veterans or 
anybody having to go to get emergency health care for routine 
care, something that could have been arrested earlier, is a 
problem not only for that person, but it's not a cost-effective 
way for us to manage our affairs.
    The other study showed that telehealth access helps save 
patients and the Federal Government money, as I point out. It 
sounds like the ACP can help both increase access to health 
care, while reducing costs, and saving the government money. Is 
that correct?
    Mr. Levin. That's correct.
    Senator Warnock. And so, in that sense, it's a win-win. The 
right thing to do is a smart thing to do.
    Mr. Levin. Absolutely.
    Senator Warnock. That's why I've spent years fighting to 
expand access to health care and to reduce costs. And that's 
why I continue to fight to cap the cost of insulin at $35 for 
everybody. And it's why I will continue to champion the ACP. 
All of these things are connected. When people can't stay 
connected, it impacts their health care, their overall quality 
of life.
    Now Mr. Levin, your testimony also notes the similarities 
between where Internet subscription rates are low, and where 
maternal mortality rates are high. When Internet subscription 
rates are low and where maternal mortality rates are high--can 
you speak more about the connection between broadband 
affordability and maternal mortality? I think that's not 
something that people think about every day.
    Mr. Levin. Yes.
    Senator Warnock. Tell us about that.
    Mr. Levin. So I think it's important to remember 
correlation does not imply causation. But the FCC mapping 
demonstrated, and if you look at the map of maternal mortality 
and you look at the map of where not as many people are 
connected, there does seem to be a correlation. But that's not 
necessarily, again, a causality.
    But what's also true is you--and I put this in the 
testimony, what people have been able to do, and this is the 
innovation cycle we really want to encourage, they have been 
using that broadband connection to help pregnant women identify 
things before they're really a big problem, to engage in 
certain practices that make the birthing safer, and things like 
that.
    Preventative--this goes to what you were saying earlier, 
preventative care is a win-win. But a lot of times people don't 
have time to go to the hospital, and therefore a broadband 
connection saves them that time, and they're more able, and 
there's a greater incentive to do that preventative care.
    Senator Warnock. Right, and I appreciate the care with 
which you approach this as a scientist that causation and 
correlation are not necessarily connected. But it's--but in a 
state like Georgia where, again, all these things are 
connected, there's connectivity in a whole--in a different way. 
In a state like Georgia where we're seeing hospitals close, 
some 10 hospitals in a decade, as we've refused to expand 
Medicaid, this access, it seems, for people's overall health 
care would be critically important.
    Mr. Levin. Absolutely.
    Senator Warnock. Thank you so very much, and I hope that we 
can get this program the funding that it needs to operate.
    Mr. Levin. Thank you.
    Senator Lujan. Thank you, Senator Warnock.
    Next we'll hear from our Ranking Member, Mr. Thune, for 
questions.
    Senator Thune. Thank you, Mr. Chairman.
    Dr. Winfree, in your testimony you discuss the impact that 
deregulation has on broadband prices. The current FCC seems 
intent on increasing its control and regulating every aspect of 
the Internet, most recently with its so-called net neutrality 
order. In your experience, what is the impact of highly 
regulated sectors of our economy, and what are the practical 
effects of the FCC's regulations on broadband prices?
    [Technical issue.]
    Dr. Winfree. One instance where the Congress stepped in and 
nullified a FCC rule, and we saw prices for both wired and 
wireless drop pretty significantly. For wireless, dropped 10 
percent and for wired, dropped 2 percent.
    But, you know, taking a step back and asking what 
regulation generally does to prices, I mean, where we see 
highly regulated marketplaces, education, health care, 
transportation, we tend to see higher prices. So there is a 
direct connection between more regulation and higher prices. 
And there's a direct connection typically between more 
government involvement, even on the subsidy side, and higher 
prices.
    Senator Thune. So testimony before the Committee today 
references data that for every dollar invested in ACP, GDP sees 
an almost fourfold increase. How do you respond to the findings 
presented in that white paper?
    Dr. Winfree. I have looked at the white paper. The co-
authors of the white paper were a geographer at George Mason 
University and a high school senior in Fairfax County. And as 
a--as an economist, I mean, quite frankly, it's a very 
impressive paper by a high school senior. I would love to have 
them as my student.
    The problem with the analysis is that it relies on what's 
called input-output analysis, which assumes that there is no 
change in a policy response on behavior. This is something that 
economists have known has been a suboptimal way to model things 
since the late 1970s.
    As a matter of fact, there was an economist at the 
University of Chicago, Bob Lucas, who won the Nobel Prize in 
1995 for suggesting and showing that this kind of analysis has 
major, major challenges.
    So you know, I think that there are better ways to do this, 
but I would take the one-dollar-for-four-dollars with a grain 
of salt.
    Senator Thune. And that--they used a static model? Is that 
essentially what you're saying?
    Dr. Winfree. It does use a static model, but the--again, 
sort of taking a step back, one of the main assumptions that it 
makes is that ACP doesn't actually exist. And all we're doing 
is adding ACP on top of an economy without modeling any of the 
behavioral impacts that ACP might have, including on prices, 
which is one of the main components of my research, looking at 
the effect that ACP has on prices.
    The other thing that it doesn't do that's important, and I 
mentioned this earlier, is that for every dollar that we're 
spending right now--so since the beginning of 2020, 76 percent 
of all new spending since the first quarter of 2020 has been 
funded by a debt. By new bonds, treasury bonds. Fourteen 
percent through money creation. Only 7 percent has been paid 
for with revenue.
    That's one of the reasons why we're seeing interest 
payments on the debt skyrocket, and interest rates skyrocket. 
So for every dollar that you borrow to spend on something, 
you're paying 5.5 percent interest that rolls over on a 3-month 
basis, just given how Treasury has had to manage its debt 
management over the last couple of years.
    So that's one of the reasons why we're seeing inflation, 
and you need to take something like that into account if you're 
projecting the impacts of any program, ACP or any program, on 
economic growth.
    Senator Thune. Right. And it is a dynamic economy, which is 
why there are a lot of interactions, and----
    Dr. Winfree. That's right.
    Senator Thune.--those have to be mapped out as well. It 
seems like this was a fairly isolated study.
    Similarly, Chair Rosenworcel has been pushing an ACP, 
quote, ``Fact Sheet'' that states that, and I quote, ``More 
than three-quarters of respondents say losing their ACP benefit 
would disrupt their service by making them change their plan or 
drop Internet service entirely,'' end quote. Is this actually 
what the FCC's survey data reveals, in your view?
    Dr. Winfree. So I think there are two issues here. The 
first issue is, what does the survey data show?
    And then the second issue is, is this survey something that 
we can rely upon? And this is actually following up on 
something that Ms. De Wit mentioned a few moments ago with in 
regards to making sure that we're getting the right information 
out of FCC to make policy decisions.
    So if you take the FCC's data as gospel, then it shows that 
only 15.7 percent of folks will lose broadband coverage if ACP 
goes away. Now the problem is, is that the way the survey was 
conducted is they went out to 110 households, and only 5,300-
and-some households responded to the survey.
    Now OMB says that when your survey response rate is under 
70 percent, which is much higher in this case than the 5,300-
and-some-odd households, you have to have a methodology, a new 
methodology, for addressing that non-response rate.
    And so FCC didn't do that. And that's one of the challenges 
that I have as an economist and somebody who looks at 
government survey data on a regular basis. I don't even know 
how to read this survey. Like I--you know, it might be 
representative, it might not be representative.
    The reality is that we just don't know, and we shouldn't be 
passing it along as if it is representative. Rather, we should 
ask FCC, and potentially fund them, to go collect more and 
better data on the program.
    Senator Thune. Thank you.
    Mr. Chairman, my time has expired. Let me just close by 
saying there has been some discussion today, too, about the 
BEAD program. Our telecom producers--or telecom providers were 
in town this week, and this is the co-ops, the independents, 
those that serve the most rural areas of South Dakota.
    And there isn't a single one of them that can use the BEAD 
program. And the reason is because of all the conditions and 
rules and regulations that the administration attaches to the 
program, many of which are completely unrealistic for the kind 
of service that these folks provide in rural areas of the 
country.
    So sometimes getting more government involved in some of 
these issues ends up not being a good solution. It ends up 
making matters worse. Thank you.
    Senator Lujan. Thank you, Mr. Thune.
    Mr. Tester, you're recognized for your questions.

                 STATEMENT OF HON. JON TESTER, 
                   U.S. SENATOR FROM MONTANA

    Senator Tester. Thank you, Mr. Chairman.
    I want to thank all the folks who testified for being here.
    I'm going to start with you, Dr. Winfree. I believe in 
capitalism. I'm sure you do. I believe in competition in the 
marketplace. Broadband is kind of a little different situation 
in that, number one, if we--and maybe this is--you can disagree 
with me if you want.
    I think the private sector doesn't necessarily interested 
in laying broadband into rural America and places like I live 
where the nearest neighbor's a mile away. And I live in a place 
that isn't the end of the earth, truthfully.
    But the question is, is that so we put money into an 
infrastructure bill to help these companies lay broadband. We 
didn't want broadband to be laid over existing broadband 
because then that's a waste of money. So that competition, that 
competition issue goes away.
    The question I have is it doesn't do any money to lay 
broadband if people can't afford it. Just doesn't do any good.
    How do we make it affordable? If not with this program, how 
do we make it affordable when especially in rural areas where I 
still have folks that don't have any Internet service 
whatsoever, they don't have fiber, they ain't got nothing. They 
got a phone. That's it. And they probably like it that way, by 
the way.
    But how do we make it affordable? If not with this program, 
how do we make it affordable, when in fact there isn't the 
competition in the marketplace that there normally would be to 
help drive down prices and give the consumer an honest value 
for their product?
    Dr. Winfree. I mean, that's a great question. I mean, as I 
mentioned earlier, given the state of the economy that we're 
in, I think that there are major problems with subsidizing 
demand. I don't think that those same problems exist in 
subsidizing supply.
    And so take BEAD, right? So we've talked a little bit about 
BEAD today. You've got 20 states that have already come out and 
said that they want to use their BEAD funds for non-deployment, 
right?
    Which tells me, given that broadband deployment was sort of 
central to the BEAD program, that those initial allocations 
might not have been exactly right. Right?
    Senator Tester. Yes.
    Dr. Winfree. So I think, you know, we need to think about 
like what to do on that side.
    I would also encourage folks to go look at the State and 
Local Fiscal Recovery Funds. So in ARPA, there were $350 
billion in state and local funds. Of the $350 billion, there's 
still $70 billion remaining that has not been obligated by 
states and local governments. The Biden administration has been 
pushing this on states and locals. They've been pushing it on 
nonprofits to go try to encourage people to think outside the 
box.
    One of the problems with the SLFRF money is that in order 
to spend it, you have to allocate it to one of seven 
categories. If one of those categories are infrastructure or 
broadband or housing or anything where you're actually building 
something----
    Senator Tester. Yup.
    Dr. Winfree.--you have to fill out more paperwork.
    And so what the states and locals are doing, is that 
they're channeling it all into what's called revenue 
replacement, or negative economic impact. Right? Which I think 
has led to an overspending on those categories, and an 
underspending on critical infrastructure.
    And so that's--I would think sort of creatively about how 
to get some of those capital investments involved.
    Senator Tester. OK. So we do a lot of things here. 
Military, for example, we give an increase for housing 
allowance. OK? BAH, they call it. And what happens many times 
when we announce we're giving an increase for housing 
allowance, guess what happens to people who are renting the 
hood? Yep, they jack it up before they even get it.
    So it's a net zero, and sometimes even worse.
    Is there any way--and I'll stick with you, Dr. Winfree, not 
that the other guys aren't a lot of fun because you are, but is 
there any way when we have a subsidy program, and I'm in 
agriculture so I know what subsidies are all about, is there 
any way when we have a subsidy program to hold--particularly 
the big companies. I really--I'm a rural guy, and I don't think 
the rural co-ops are doing this as much, but the big companies 
tend to get what you can get out of the marketplace, and if 
that subsidy goes up, they'll jack their rates. Is there any 
way to stop that?
    Dr. Winfree. That's exactly what my research finds, right? 
And part of the reason why my research finds this is that ACP 
is, as I mentioned earlier, is predominantly a program that 
serves urban areas relative to rural areas, when rural areas 
have a completely different challenge.
    Senator Tester. Yes, they do.
    Dr. Winfree. Yes. And I mean, I'll just--I'll give sort of 
my own example. I have a--my sister lives in the Middle 
Peninsula in Virginia, which is a really rural farming 
community between the peninsula and the Northern Neck, and they 
don't have many options there. Mobile doesn't work very well 
because you're close to the Bay. Fixed wireless doesn't work 
very well. And they've received a lot of money from the state, 
that region, to build fixed wire, and it's--it's now there. And 
it's--it's actually fairly, fairly cheap, right?
    But they have one option. And it's fairly cheap for the 
buy-in. At some point, those folks who have then bought into 
those plans are going to have their rates increased if there 
isn't competition.
    And so I think what we need to do is ultimately focus on 
supply, ultimately focus on competition, and that's what will 
bring those rates down in a sustainable way at some point into 
the future.
    Senator Tester. I--and I'm over time, and excuse me if I 
might.
    I understand----
    Dr. Winfree. It was my fault.
    Senator Tester.--and I--no, no, no. I agree with you 
fundamentally, except it is so damn expensive to lay broadband, 
and in rural America, I don't know how you're ever going to get 
competition. I just don't know, unless we're willing to lay 
several lines or--God, I don't know, you guys probably make 
rules that force other companies to be able to use the lines or 
whatever. There are all sorts of stuff out there.
    But I just don't know how we--in, you know, in a grocery 
store, yes, we get more food manufacturers. In energy, we'll 
get more people that are creating energy, whether it's, whether 
it's carbon-based or--or renewable. There are things we can do 
in those.
    In this one, it's just a different marketplace that 
somewhat holds the consumer at a big disadvantage.
    You don't have to say anything, but I had to get that off 
my chest. Thanks.
    Senator Lujan. Thank you very much, Senator Tester.
    Senator Markey, you're recognized for questions.

               STATEMENT OF HON. EDWARD MARKEY, 
                U.S. SENATOR FROM MASSACHUSETTS

    Senator Markey. Yep. Thank you, Mr. Chairman.
    I agree with everything Senator Tester just said.
    I also want to take a moment to celebrate the FCC's vote 
last week to reinstate critical net neutrality rules. The new 
rules are important to protect the free and open Internet, and 
the evidence shows clearly that the rules do have no impact on 
broadband investment in the country. So just congratulations to 
the FCC.
    As everyone knows, we're at a crisis point for the 
Affordable Connectivity Program. May is the first month when 
ACP households will not receive the full $30 discount on their 
monthly broadband bill. Instead, that discount will only be 
$14, which is less than half of the subsidy. For households on 
tribal lands, the May benefit is just $35, down from $75 
previously.
    And I'm deeply concerned that faced with this cost 
increase, many ACP beneficiaries will drop their Internet 
service, and that would be a huge loss. That is why last week I 
led my colleagues in a letter to the trade associations of the 
major ACP corporations and urged them to cover the shortfall in 
the May benefit.
    Given that the $14 billion in ACP benefits ultimately 
returns to the corporations, who are the providers, this money 
is a small price to pay for ensuring that ACP households 
receive a full discount in May.
    Mr. Levin, do you agree that providers should ensure that 
ACP households receive the full $30 benefit in May?
    Mr. Levin. I certainly hope that they follow your advice 
and do that.
    I would only add to that that voluntary efforts are not a 
long-term solution. We need a long-term solution. I was very 
supportive, as you know, for issues--for initiatives like 
Comcast Internet Essentials and other kinds of things, very 
helpful. But it was not a solution to get everybody on, which 
is what we really need.
    Senator Markey. Yes. So the corporations should help us to 
create a bridge here to combine a solution.
    Mr. Levin. Bridges are good.
    Senator Markey. They get the primary benefit financially 
out of this. And we just have a short window to get these--to 
get this solved, and we just don't want these households to 
lose their critical benefits.
    And as we consider proposals to reform the Universal 
Service Fund, we must make sure to protect existing programs 
that have been instrumental in closing the digital divide.
    At the top of that list is the Universal Service Program 
for Schools and Libraries, better known as E-Rate. So I was the 
Democratic author of the E-Rate program. I actually named it 
the E-Rate program. I was going to call it the Ed-Rate----
    [Audience interruption.]
    Senator Markey.--but then my staff said, ``Nah''----
    Mr. Levin. I remember that.
    Senator Markey. --``We can't do that.''
    OK, we'll just call it the ``E-Rate,'' for ``education.'' 
So I did that in 1996. Named it, created it.
    And so the program has delivered over $60 billion to 
connect schools and libraries to the Internet, including $900 
million for Massachusetts. And that money has primarily flowed 
to disadvantaged and low-income communities across the country.
    So Mr. Levin, you were there in 1996----
    Mr. Levin. As were you. Yes.
    Senator Markey.--at the FCC to implement it. Do you agree 
that any changes to the Universal Service Fund must protect E-
Rate?
    Mr. Levin. I certainly agree that it should protect E-Rate 
and the mission of E-Rate. I would just note, because I think 
it's important, you know, you and I have both aged a little 
bit. I think we may be the only people in this room who were 
there----
    Senator Markey. Speak for yourself.
    Mr. Levin.--in 1996.
    [Laughter.]
    Mr. Levin. I was going to say, you have aged much more 
gracefully and much more beautifully than I have. But the E-
Rate program has also aged extremely well.
    But we did have to do some reforms, and I think the FCC's 
reforms were in 2014. And those reforms were great. And if you 
look at the Education SuperHighway report in 2019, you can see 
that the reforms led to a number of tremendous improvements for 
the state.
    So I--we should absolutely protect E-Rate. We should 
absolutely protect its mission. But I would be open to, you 
know, things that make it even better.
    So that is the challenge.
    Senator Markey. Right.
    Mr. Levin. ACP is part of a broader mission to make sure 
that everybody is connected to the tools they need, as Congress 
said, to fully participate in the economy and society.
    Senator Markey. Yes. So it's actually--it's not your age, 
it's the age of your ideas. So I like to think of myself as 
still the youngest guy in the room.
    So E-Rate has stood the test of time. You know, if it can 
be improved, that's fine, but it's survived the test of time.
    Mr. Levin. Yes.
    Senator Markey. So any changes must be carefully calibrated 
to elicit a solution that actually improves it and doesn't 
undermine it.
    And ACP is exactly the kind of program that does show how 
government and industry and community organizations can all 
work together.
    Mr. Levin. Mm-hmm.
    Senator Markey. And we just have to continue that tradition 
and ensure that as we move forward, we do so with a consensus. 
And we just want to keep this program going, because if it 
fails, it just will undermine public trust, because it will 
just be a failure on the part of the government and the private 
sector to come to a solution that helps community organizations 
provide that service.
    And thank you, Mr. Chairman and Ranking Member, for all of 
your great work on this program. Thank you.
    Senator Lujan. Thank you, Senator Markey.
    Senator Rosen, you're recognized for questions.

                STATEMENT OF HON. JACKY ROSEN, 
                    U.S. SENATOR FROM NEVADA

    Senator Rosen. Well, thank you, Chairman Lujan, of course, 
Ranking Member Thune. It's really important we hold this 
hearing today.
    And I thank all the witnesses for being here.
    Because earlier this week, we crossed a new threshold. The 
end of April marked the last month that households will see, of 
course, as everyone has stated, the full $30 ACP benefit on 
their internet bills.
    I was proud to help write and pass the broadband section of 
the Bipartisan Infrastructure Law, which created the Affordable 
Connectivity Program to lower Internet costs for Nevadans and 
people across the country.
    But due to congressional inaction, there are people today 
already seeing higher costs because the program's funding has 
run out. I remain committed to finding a path forward to save 
ACP to ensure high speed Internet is not only accessible, but 
affordable to working families in Nevada. And the time has run 
out. And that means the time to act is now.
    And so I want to talk a little bit on some of the impact 
for my Nevada seniors and my Nevada veterans. I want to hone in 
on one of the points Senator Vance made earlier. Losing access 
to Internet due to high costs can also raise costs, like I 
said, for seniors, for veterans, and even the Federal 
Government.
    Federal agencies like the VA and Medicare use telehealth 
and online services to save taxpayer funds and provide more 
timely assistance to veterans and seniors.
    Telehealth. I can't tell you how important it is to people 
in our rural communities in rural Nevada. It matters. It makes 
a difference. They're getting their care this way. It's saving 
lives.
    But sometimes the nearest in-person service is hundreds of 
miles away.
    So Mr. Levin, on my ACP lapsing, they get harder for 
veterans to access their benefits, and especially when they go 
through the VA.
    Mr. Levin. It does it in a variety of ways. One of the 
interesting things that's been developing in the last few years 
is because of ACP, there are a lot of social service providers, 
both in the government but also in the non-profit communities, 
that are restructuring the way--they now have an incentive to 
restructure how they deliver those services to make it more 
effective, more efficient, to allow people to get help 24/7 
instead of 9 5.
    So it can affect veterans who depend on a variety of 
government services, not just with health care, though health 
care is probably the number one way.
    But if they get cut off, if they can't afford Internet 
connectivity, then everything they do to try to make their 
lives better will become more difficult.
    Senator Rosen. Yes. I think the same thing would go for our 
seniors and for many of our social service agencies that work 
all around our state.
    So Mr. Chairman, I'd like to enter into the record a letter 
from health plans across the U.S. in support of continuing to 
fund the ACP.
    Senator Lujan. With no objection.
    [The information referred to follows:]

    [GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT]   
       

    Senator Rosen. Thank you. I'm going to move on and talk a 
little bit in the time left about broadband multipliers. So 
research has identified broadband adoption as a super 
multiplier.
    What does that mean? Just like we talked about, it 
increases access to health care, creating more opportunities 
for tele-education and for jobs and--well, I would say in 
Nevada for tourism as well.
    And so Mr. Levin, how can you talk about the downstream 
effects of broadband affordability? How is affordable access to 
the Internet connection as for better educational outcomes, 
health outcomes, better jobs, just increase all of our 
connections and our ability to move all around our state, 
particularly in our underserved and rural areas? And this lapse 
in ACP, how does it reverse those benefits?
    Mr. Levin. Yes. I think you've hit upon a key point here, 
which is, as I mentioned in the oral testimony, broadband 
Internet access is really a general-purpose technology. It is 
like electricity, as Senator Tester was saying, in the sense 
that it doesn't enable one thing. It enables lots of things.
    And so all of those things that you mentioned are improved. 
Earlier we were talking about job training and job placement. 
Now by the way, again, artificial intelligence is going to 
change the way people do jobs, change the way that they have to 
keep learning and learning.
    You're not going to do that by, you know, going to 
community colleges live all the time. You're going to do it at 
home at night. You're going to keep upgrading your skills.
    And then how do you find that job? The majority of jobs, 
the vast majority of jobs, are now posted only online.
    Senator Rosen. Mm-hmm.
    Mr. Levin. So that's a benefit to everybody. But that's 
just one of a thousand examples we could use.
    Senator Rosen. Well, thank you. I have so much more to talk 
about our impact in rural communities and infrastructure 
investments that--how we're going to expand the digital divide 
if we don't fund ACP, and just create more and more inequities. 
I will submit those questions for the record. I see my time is 
up.
    Thank you.
    Senator Lujan. Thank you, Senator Rosen.
    And before I close with no other speakers expected, I have 
a couple other questions. Ms. de Wit, in your work at Pew, 
you've assisted states in determining what constitutes 
reasonable prices for broadband for a middle class family, 
correct?
    Ms. de Wit. Yes, that is correct.
    Senator Lujan. Now, it's my understanding that your work 
found that affordability can vary widely across regions, 
states, and counties. For example, the median affordability 
price for Texas is listed at $92.80. In Dimmit County in South 
Texas, the affordable baseline was $41.67. And in Rockwell 
County, located in the Dallas-Fort Worth Metroplex, 
affordability was $185.99.
    Ms. de Wit, what are some of the reasons for such wide 
pricing differences in different states and counties?
    Ms. de Wit. Simply put, more research is needed to confirm 
that. What we know at this point are that there are a range of 
factors that do influence affordability, including the type of 
service that is available, as well as, simply put, what a 
customer can afford.
    And further, that research, which I should point out, is 
based on a 2 percent valuation of middle income. And sorry, I 
won't go down on methodology. You don't need to hear about 
that.
    But I think what's important to note is that what we found, 
even with those ranges, are that that middle, that 2 percent 
number of what could be affordable for a middle class, is still 
more expensive than what many families can afford.
    But fundamentally, there are a range of economic, social, 
and educational factors that influence affordability for 
households.
    Senator Lujan. Appreciate it.
    Senator Hickenlooper, you are recognized for your 
questions.

             STATEMENT OF HON. JOHN HICKENLOOPER, 
                   U.S. SENATOR FROM COLORADO

    Senator Hickenlooper. Thank you, Mr. Chair.
    Thanks to all of you. I've caught bits of this through the 
morning.
    Let me start with a question for Ms. Case Nevarez. During 
the pandemic, students nationwide had to adapt to learning 
remotely. Many had limited experience beforehand. Students 
without any broadband connection, or a device, were 
disadvantaged, could not keep up with their peers. I think the 
digital divide is not just about broadband access, but about 
broadband adoption and use.
    So can you describe how you've seen this relationship 
between broadband adoption and education evolve over the last 
couple of years?
    Ms. Nevarez. Sure. In our state in particular, it has been 
a critical issue that the Nation is watching. Community 
members, particularly our tribal community members, Hispanic 
community members, some of our disabled community members, have 
actually gone to the state to address equality of education. 
And a tech order came out to note the importance of technology 
and the critical need for our students to actually have both 
connectivity and a device.
    Our state is rallying now to address those needs, and it is 
not easy. The cost of devices, the cost of maintenance of 
devices, and of course, as we've mentioned here today, 
connecting many of our rural students--some of which actually 
in Navajo Nation, believe it or not, ride the bus 2 hours to 
get to school every day.
    So as we've noted, in our state, getting fiber to a home 
that far away over canyons and mountains is expensive, and the 
cost, if there even is a choice, is expensive. We sit here in 
D.C., there's 11,000--more than 11,000 people per square mile. 
In the state of New Mexico, it's an average of 17.
    So even if a family wants their student or wanted their 
student to be able to connect, it's often not an option, or 
it's an expense they can't handle.
    It has cost our students, many of them returning to school 
post-pandemic, the challenge of catching up and the challenge 
of proceeding forward as we as a state look at how are we going 
to ensure all students, all the time, have technology and 
access as a tool for learning and advancing. It's a heavy lift 
for us, and a heavy lift for every state, but a lift we cannot 
delay and we cannot avoid.
    Senator Hickenlooper. Right. Thank you. And I've got two 
more questions, so hopefully we'll get them. I'll be concise in 
asking and--because you can get concise answers.
    Ms. de Wit, the E-Rate Program, the LifeLine Program, the 
Rural Health Care Program to support hospitals and clinics, 
the--what they call the High-Cost Program to help expand access 
in rural America, during the pandemic, Congress authorized 
these programs to get to the same goals as the Universal 
Service Fund through direct appropriations and unique 
appropriation rules.
    How would you advise Congress to combine these pandemic-era 
programs with the Universal Service Fund to be sustainable 
long-term?
    Ms. de Wit. At this point, we don't have research on that 
issue to provide an informed answer. What we do know is that 
USF reform is needed. That's also a question that is worthy of 
debate and further research, and which we would be happy to 
participate in as time moves forward.
    But I think the critical point for us is that ACP is the 
cornerstone of BEAD. And without ACP, without a bridge for 
funding ACP, we threaten billions in deployment grants across 
the country. So we hope that we find a short-term solution for 
ACP and a longer one for USF reform.
    Senator Hickenlooper. We'll get you back to work. Full-time 
employment for researchers, this issue.
    Mr. ``L'vin''--or ``Levvin,'' I missed the beginning 
introductions. It's like ``Hickenlooper,'' ``Hickenlopper,'' 
either way.
    That same question. We're looking at--I mean, the issue of, 
as I grew up, everyone paid in a little bit into a fund to make 
sure that everybody had telephone coverage and was connected. 
We've introduced something called Reforming Broadband 
Connectivity with Senators Klobuchar and Thune, finally trying 
to get the FCC to take action, you know, by basically expanding 
the contribution base to make sure that we have sufficient 
resources.
    So in your view, what is currently within the FCC's 
authority to expand the contribution base to, like broadband 
providers? And what is not within their authority without 
congressional legislation?
    Mr. Levin. I think they could expand it to broadband 
providers. I don't think they could expand it to certain kinds 
of big tech operations, as has been proposed by a number of 
different people.
    And I would be happy to also participate in any further 
discussions. I was involved in the 1990s. I was involved 10, 15 
years ago in terms of various reforms. There's no question that 
there's a broader reform necessary.
    But the single most important point that I think this 
hearing demonstrates is, we need to keep everybody on. The 
government actually saves money by keeping people on. So let's 
have a short-term extension, and let's get to the work. This is 
not the Middle East. We can solve this problem. And we can 
solve it in a reasonably short period of time. And we should 
look at a lot of different options for how to do it.
    I might note there are some court cases pending that may 
affect those options.
    Senator Hickenlooper. Sure.
    Mr. Levin. But I think fundamentally, this is a 
congressional decision. And it should be a congressional 
decision. And let's make that decision. Let's move on. And then 
15 years later, there'll be another hearing, and we'll have to 
reform it all over again. But that's fine. Because that's the 
truth of every program that's ever occurred.
    Senator Hickenlooper. Well, I appreciate that. And I look 
forward to keeping you all busy in the years to come, because 
it is important. And it--I have not had a single citizen while 
the 8 years I was Governor of Colorado, who when explained the 
theory behind everyone paying a little bit more to make sure 
that everyone had some access, no one ever complained about 
that.
    So it is befuddling, to say the least, that we can't seem 
to find out that that solution is sitting there right in front 
of our face.
    Anyway, I yield back to the Chair.
    Thank you all.
    Senator Lujan. Thank you, Senator Hickenlooper.
    And I'm asking the Committee to submit a statement for the 
record from R Street, which is a self-described ``center-right 
think tank'' that engages in policy research in support of free 
markets and limited effective government without objection.
    [The information referred to follows:]

                                         R Street Institute
                                       May 1, 2024, Washington, DC.
Hon. Ben Ray Lujan,
Chair
Subcommittee on Communications, Media and Broadband,
Committee on Commerce, Science, and Transportation,
United States Senate,
Washington, DC.

Hon. John Thune,
Ranking Member,
Subcommittee on Communications, Media and Broadband,
Committee on Commerce, Science, and Transportation,
United States Senate,
Washington, DC.

Dear Chair Lujan, Ranking Member Thune, and members of the 
            subcommittee:

    Thank you for your decision to hold a hearing on May 2, 2024, 
titled ``The Future of Broadband Affordability.'' My name is Jonathan 
Cannon, and I am Policy Counsel on the Technology and Innovation team 
at the R Street Institute. The R Street Institute is a non-partisan 
think tank dedicated to free markets and limited, effective government. 
One of our priorities is to seek solutions to address broadband 
challenges and to lower barriers to help Americans seize the 
opportunity of the digital economy. To that end, we would like to 
reiterate our support for the Affordable Connectivity Program and work 
with this subcommittee to find a long-term sustainable path for the 
extension of this important program.
    Prior to joining the R Street Institute, I was an attorney advisor 
in the Office of Legislative Affairs at the Federal Communications 
Commission (FCC) in 2020 when the Emergency Broadband Benefit Program 
was started by the CARES Act.\1\ I saw how quickly and effectively 
Congress and the FCC mobilized to implement this program and connect 
those left on the wrong side of the digital divide during the COVID-19 
pandemic. The program's success was so evident that it was extended as 
the Affordable Connectivity Program (ACP). This has been a bipartisan 
program since its inception, and it should remain so moving forward.
---------------------------------------------------------------------------
    \1\ H.R. 133, 116th Cong.
---------------------------------------------------------------------------
    The ACP is a light-touch, market-friendly broadband affordability 
program that has enabled 23 million households to connect and stay 
connected online. The program can be updated and modified by Congress 
to account for changes to both customer needs and market demands. 
Ultimately, the goal of the program is to help families get off of ACP 
and become an integral part of our digital economy. So far, the data to 
that effect looks promising.
    As R Street analysis has highlighted on several occasions, the ACP 
is ``a model of success.'' \2\ The ACP addresses the affordability gap 
enabling existing customers to remain connected, while also helping 
customers connect to the digital economy for the first time. There are 
currently over 23,000,000 households in the U.S. enrolled in ACP.\3\ 
These households are using the technology-neutral voucher to receive a 
$30-per-month discount for either mobile, fixed, fixed wireless, or 
even satellite.\4\
---------------------------------------------------------------------------
    \2\ Jonathan Cannon, The Affordable Connectivity Program: When 
Government Spending is Good, R Street Institute (Apr 19, 2023), https:/
/www.rstreet.org/commentary/the-affordable-connectivity-program-when-
government-spending-is-good/
    \3\ Additional ACP Data, Universal Service Administrative Company, 
https://www.usac.org/about/affordable-connectivity-program/acp-
enrollment-and-claims-tracker/additional-acp-data/ (last visited Apr. 
30, 2024)
    \4\ Id.
---------------------------------------------------------------------------
    Although we recognize that there are genuine concerns with the ACP, 
we do not see these as fatal flaws of the program. Instead, we see 
these concerns as an opportunity to further refine and improve it. Some 
have raised concerns about the ACP's negative impact on the 
marketplace, but all evidence demonstrates the opposite. According to 
recent studies, the most popular broadband speed tier plan prices 
dropped by 18.1 percent during ACP implementation.\5\ ACP is a 
bootstrap program that connects families to the digital economy and its 
results speak for itself.
---------------------------------------------------------------------------
    \5\ Arthur Menko, 2023 Broadband Pricing Index Broadband Prices 
Continue to Decline, USTelecom https://ustelecom.org/wp-content/
uploads/2023/10/USTelecom-2023-BPI-Report-final.pdf (last visited Apr. 
30, 2024).
---------------------------------------------------------------------------
    A prevailing concern raised by critics of the ACP is that the 
program is subsidizing providers, and providing limited, if any, 
benefits to customers. Fortunately, studies disprove that notion. 
Recently-published research found that not only do Internet Service 
Providers (ISPs) pass cost savings on to their customers, but they also 
are ``not inflating prices to appropriate government subsidies, and the 
ACP is successfully reducing the cost of Internet plans for eligible 
households.'' \6\
---------------------------------------------------------------------------
    \6\ Schieberl, River and Ahmadi, Nikki, Measuring the Success of 
the Affordable Connectivity Program (July 31, 2023) https://ssrn.com/
abstract=458690 or https://dx.doi.org/10.2139/ssrn.4528690
---------------------------------------------------------------------------
    The purpose of the study was to determine ``if there is a 
statistically significant difference in the price of an Internet plan 
when the ISP offers enrollment into the Affordable Connectivity 
Program.'' \7\ The study revealed that the cost of an Internet plan 
when offering enrollment into the ACP decreased by $3.27, not including 
the $30/$75 discount offered by the program.\8\ Notably, the study 
concludes that providers ``are passing on cost savings to their 
customers . . . and the prices are not being artificially raised to 
appropriate government subsidies.'' \9\
---------------------------------------------------------------------------
    \7\ Id. at 4
    \8\ Id. at 5
    \9\ Id. at 7
---------------------------------------------------------------------------
    Some have written critiques of the program that appear at first 
blush to contradict the results of this paper and study.\10\ However, 
this analysis fails to compare the price of both fixed and wireless 
broadband services. With the majority of ACP recipients utilizing the 
benefit for mobile broadband, the data looks at only fixed broadband 
when making the determinations about costs. It further admits to using 
a small dataset and it is not clear whether the results hold as the 
percent of the population receiving ACP benefits increases. This 
critique does not examine the ACP program in comparison to alternative 
efforts to expand broadband access. The ACP program fares well by 
comparison and is less intrusive, and less likely to distort the 
broadband marketplace.
---------------------------------------------------------------------------
    \10\ Bidenomics Goes Online: Increasing the Cost of High-Speed 
Internet, Paul Winfree, Economic Policy Innovation Center, https://
epicforamerica.org/publications/bidenomics-goes-online-increasing-the-
costs-of-high-speed-internet/
---------------------------------------------------------------------------
    With the large variability of service price offerings and prices 
across the country, a small sample is hardly a good predictor of the 
cost of services. Another critique of the program in the paper is the 
lack of new subscribers. This further undercuts the argument. If the 
program were only supplementing existing customers with a neutral 
voucher, it is unlikely that would have any impact on the market or the 
cost of broadband services.
    During the COVID-19 pandemic Internet demand exploded, and 
providers not only met that demand, but were able to reduce prices, 
offer faster speeds, and keep Americans connected.\11\ Broadband prices 
have decreased by 42 percent since 2016, including by as much as 60 
percent on the highest-speed plans. And that's to say nothing of the 
increase in speeds available to customers.\12\ With the overall trend 
of broadband prices decreasing over time, as noted in several studies, 
there is stronger evidence to suggest that ACP has at least done little 
to manipulate the market broadband prices. If anything it has done 
little to effect the trend of faster speeds at lower price points.
---------------------------------------------------------------------------
    \11\ COVID-19 Overview, NCTA, https://www.ncta.com/covid-19-
overview, (last visited, apr. 30, 2023)
    \12\ New Study: U.S. Broadband Prices Fell 42 percent Since 2016, 
Roslyn Layton, Forbes (Feb 28, 2022), https://www.forbes.com/sites/
roslynlayton/2022/02/28/new-study-us-broad
band-prices-fell-42-since-2016/
---------------------------------------------------------------------------
    Unfortunately, the ACP, like many Federal programs, has been the 
victim of arbitrage and subject to waste, fraud, and abuse.\13\ 
However, the FCC's Office of Inspector General has readily identified 
and addressed these issues. For example, in September of last year, the 
IG completed an investigation that led to providers voluntarily 
repaying $49.4 million that was improperly used.\14\ As Congress looks 
to extend and reform the ACP program, they are well suited to continue 
to refine and strengthen it to reduce opportunities for waste, fraud, 
and abuse.
---------------------------------------------------------------------------
    \13\ John Thune, Thune Cruz Statment on the FCC's Mismanagement of 
a Taxpayer Funded Broadband Subsidy Program (Jan 25, 2023), https://
thune.senate.gov/public/index.cfm/2023/1/thune-cruz-statement-on-the-
fcc-s-mismanagement-of-a-taxpayer-funded-broadband-subsidy-program
    \14\ FCC Inspector General Announces Major ACP Provider Voluntarily 
Repaid Nearly $50 Million and Issues Advisory Regarding ACP Provider 
Compliance with Program Usage Rules, Federal Communications Commission 
(Sept. 28, 2023), https://docs.fcc.gov/public/attachments/DOC-
397332A1.pdf
---------------------------------------------------------------------------
    As we highlighted in comments submitted before the Universal 
Service Working Group, ``Before any long-term solution is considered, 
Congress should at least ensure a short-term extension of the ACP,'' 
which would provide Congress an adequate opportunity ``to examine the 
program's eligibility criteria to potentially lower the cost of the 
benefit and ensure that the ACP targets customers who depend on it to 
remain connected.'' \15\ Congress is in the perfect position to ``make 
meaningful changes to ensure [ACPs] longevity and sustainability.'' 
\16\ As Congress looks to extend the ACP, Congress should consider 
rolling it into the future Universal Service Fund (USF) programs.
---------------------------------------------------------------------------
    \15\ Jonathan Cannon, Comments to the Senate Universal Service 
Working Group (Aug. 15, 2023) https://www.rstreet.org/outreach/r-
street-submits-comments-to-senate-universal-service-fund-working-group/
    \16\ Id.
---------------------------------------------------------------------------
    Senator Cruz, in a recent whitepaper, noted that ACP and Lifeline 
``should be streamlined and reformed to target subsidies to those who 
truly need them to get online.'' \17\ As his paper highlighted, the 
Government Affairs Office has identified 133 broadband programs across 
15 agencies.\18\ There is an enormous mission creep across government 
agencies that needs to be addressed to ensure that we are maximizing 
every dollar spent on broadband and taking steps to close the digital 
divide. While both Republicans and Democrats are rightfully frustrated 
by the significant cost and duplicity of Federal broadband programs, 
they are in a perfect position to meet these challenges head-on, 
consolidate existing broadband programs, and prioritize ACP as ``one 
broadband program to rule them all.'' \19\
---------------------------------------------------------------------------
    \17\ Ranking Member Ted Cruz, Protecting Americans From Hidden FCC 
Tax Hikes, Blueprint for Universal Service Fund Reform https://
www.commerce.senate.gov/services/files/5CA218F4-384D-4DCA-8678-
6885885209DC (Last visited Apr. 30, 2024).
    \18\ Government Accountability Office, Broadband: A National 
Strategy Needed to Coordinate Fragmented, Overlapping Federal Programs, 
GAO-23-106818 (2023).
    \19\ Jonathan Cannon, The Conservative Case for the Affordable 
Connectivity Program, R Street (Sept. 2023) https://www.rstreet.org/
events/the-conservative-case-for-the-affordable-connectivity-program/
---------------------------------------------------------------------------
    Thank you again for holding this important hearing and for your 
consideration of my views. Should you have any questions or wish to 
have further discussion, please do not hesitate to contact me.
            Sincerely,
                         /s/ Jonathan Myles Laurier Cannon,
                                Policy Counsel Tech and Innovation,
                                                    R Street Institute.

    Senator Lujan. The study also state something that I agree 
with, which is R Street states that the Affordable Connectivity 
Program is, quote, ``a model of success,'' and that, quote, has 
been a bright--pardon me, quote, ``has been a bipartisan 
program since its inception, and it should remain so moving 
forward.''
    I would also like to highlight research that R Street 
Institute statements mentions, which takes a look at the effect 
ACP has had on the price of broadband, by comparing broadband 
price offerings by companies who participate in ACP with 
similar offerings by companies who do not participate in ACP.
    The study demonstrates that ACP is successfully reducing 
the cost of Internet plans for eligible households. The study 
also finds that ISPs are passing on cost savings to their 
customers.
    Mr. Levin, yes or no, in any of your research, have you 
seen evidence that the ACP itself is driving broadband prices 
higher? I appreciate that very much.
    Mr. Levin. On Wall Street right.
    Senator Lujan. I appreciate that.
    And look, I hope that these programs will eliminate slow 
speeds across America. I live in a rural community. I represent 
a very rural state. Most access to the Internet is still over 
twisted copper. I was a former utility commissioner before I 
came to the Congress.
    So doing something about POTS, and that's not what 
everyone's trying to legalize now, that's Plain Old Telephone 
Service----
    [Laughter.]
    Mr. Levin. Right.
    Senator Lujan.--which was delivered over twisted copper, 
and then some really smart engineers figured out, well, we can 
increase capacity on twisted copper. And then the world said, 
and all these corporations said, ``Oh, that's how people living 
in rural America will get faster speeds.'' You know, ``We're 
going to boost them up from a dial-up tone,'' and some of you 
in the room may remember it, but you don't have the same color 
of hair as I do.
    But you used to go to download an e-mail, not all your e-
mail, an e-mail, and you would log in to AOL or whatever 
account you had, and you would hit enter, and the phone would 
start, ``buzz, buzz, buzz,'' you know, and everything would 
start talking to one another, and you'd leave. For the day. And 
you would come home to watch it maybe finally downloading the 
one e-mail.
    Unfortunately, that's how broadband providers across the 
world said, ``Rural America, that's what they get.''
    We're going to solve this problem. Building a bipartisan 
deployment plan to rural America said, ``Well, not anymore.'' 
In the same way that my colleagues asked about electricity, and 
roads, and this revolution across America to say that everyone 
matters, we're going to make sure that we get this done all 
across the country, we're finally doing the same thing with 
broadband.
    Dr. Winfree, the one area that I disagree--well, there may 
be a few areas. The one area that I'll highlight, ACP does help 
rural America. Things in rural America are expensive too. I 
hope more programs look to rural America, where most of our 
food is grown.
    There's an effort now to be smarter with the use of 
tractors, like the ones that my colleagues that farm on large 
acreage, to modernize them. You know, I still use the ones that 
you have to putter around in because it's small acreage. It 
doesn't make sense for me.
    Rural electric co-ops are a present service to us across 
the country, because people believed that rural Americans 
deserved electricity too.
    And I'm certainly hopeful that with these programs that we 
can eliminate slower speeds, that we can finally get higher 
speed connectivity to people living all across America.
    And where competition doesn't exist, well, then what? I 
don't know if I'm hearing that we should overbuild. I'm 
surprised I used those terms, because I don't use those terms. 
I don't know what ``overbuild'' means.
    In order to get competition for broadband, you need a few 
pipes, or you need a lot of fiber in a pipe, so that other 
people can be able to get that service to you.
    Well, that's called overbuilding. They used to call it 
``gold plating'' when I was on the Public Utility Commission. 
And it was all the rural telephone cooperatives who would get 
called out for gold plating.
    And now we applaud them for being smart and innovative and 
making these investments. Where you had innovative boards, they 
had some of the fastest connections in America. We should model 
after them. We should look after what they've been able to 
achieve.
    So I'm just going on and on here. I hope that we can find a 
way to work together as the bipartisan working group with USF 
has come up with really strong ideas. Democratic ideas, 
Republican ideas, thoughts that have come out of studies from 
the right and the left, from the center.
    And it's a good methodology that I'm hoping that going 
forward programs will work better. That they touch the people 
that they are intended to reach out to. That whether we're in 
rural settings, urban settings, that where we have a hole and a 
flaw in American policy, that we can do something about that as 
well.
    So thank you to each of the witnesses for being available 
today, for traveling, for the preparation it takes to be able 
to come together and have a good conversation.
    I appreciate all my colleagues who participated today. 
There's a lot of interest in this particular space.
    And before I wrap up, I want to enter a few more things 
into the record, and I ask unanimous consent to enter a 
statement from February 8, 2024 from the Wireless 
Infrastructure Association in support of extending ACP; a 
January 10, 2024 statement from NCTA, the Internet & Television 
Association in support of extending ACP; a January 10, 2024 
statement from CTIA in support of extending ACP; a January 10, 
2024 statement from NTCA, the Rural Broadband Association, in 
support of extending ACP; an April 15, 2024 statement from T-
Mobile in support of extending the ACP; and a statement for the 
record from AARP in support of ACP and sharing research 
findings about the importance of the programs for older 
Americans.
    [The information referred to follows:]

``On behalf of the undersigned organizations representing the United 
States' information and communications industry, we urge you to support 
S. Amdt. 2024 to the Securing Growth and Robust Leadership in American 
Aviation Act (H.R. 3935), offered by Senators Lujan, Daines, Vance, 
Welch, Rosen, and Wicker, to fully fund the Secure and Trusted 
Communications Networks Reimbursement Program (Rip & Replace Program) 
and extend funding for the Affordable Connectivity Program (ACP) at the 
Federal Communications Commission (FCC). This amendment will provide 
full and immediate funding for the Rip & Replace Program's current 
$3.08 billion shortfall as well as $6 billion to extend the ACP, which 
would be fully offset by future spectrum auction proceeds. Fully and 
immediately funding the removal, destruction, and replacement of 
untrusted network equipment via the Rip & Replace Program and 
sustaining the ACP are both critical for supporting and maintaining 
connectivity across the country, especially in rural areas and low-
income communities.''
Excerpt from letter undersigned by the following organizations:

Competitive Carriers Association
CTIA
INCOMPAS
NATE: The Communications Infrastructure Contractors Association
NCTA--The Internet & Television Association
NTCA--The Rural Broadband Association
Rural Wireless Association
Telecommunications Industry Association
USTelecom--The Broadband Association
Wireless Infrastructure Association
WISPA--Broadband Without Boundaries
WTA--Advocates for Rural Broadband

``In modern society, broadband is every bit as essential as food, 
water, electric, and housing. Without it, families will struggle to 
access school, work, healthcare, government benefits, the news, or even 
a social life. There simply isn't time to wait--without immediate 
action, more than 23 million households could find themselves 
disconnected from the Internet in just weeks. The ACLU is grateful for 
the efforts of the bipartisan group of Senators who are pushing to 
ensure American households stay connected.''
Jenna Leventoff, Senior Policy Counsel, ACLU

``The Affordable Connectivity Program is essential for millions of 
families across the country. We wholeheartedly support this impactful 
bipartisan amendment and thank Senators Lujan, Vance, Welch, Wicker, 
Daines, and Rosen for their steadfast commitment to funding this 
critical program.''
Chip Pickering, CEO, Incompas

``UCC Media Justice congratulates Senators Lujan, Daines, Welch, Vance, 
Rosen and Wicker on their proposed amendment to extend funding for the 
critically important Affordable Connectivity Program through the end of 
2024. If this amendment becomes law, the 23 million low-income families 
relying on the ACP will have their trust in the program vindicated. 
This critical bridge funding will pave the way for permanent ACP 
funding which would mean Congress' $42 billion investment in broadband 
deployment will go farther and be more likely to achieve its goals. The 
bi-partisan proposal wisely relies on the auction of valuable spectrum 
by the Federal Communications Commission to support affordable access 
to high-speed internet--an equitable approach to digital inclusion long 
supported by the civil rights community.''
Cheryl A. Leanza, Policy advisor for the United Church of Christ Media 
Justice Ministry

``OTI is grateful for the efforts of the bipartisan group of Senators 
who are pushing to ensure American households stay connected. 
Preserving the ACP will help the millions of low-income American 
households who without the program would risk being unable to pay their 
Internet bills. The Internet is essential to American life, and as we 
face persistent fears of inflation, the uncertainty of AI's impact on 
our workforce, and continuously rising levels of disinformation and 
polarization, we should not leave Americans behind.''
Lilian Coral, Head of OTI and Vice President for Technology and 
Democracy programs at New America

``We at Connected Nation fully support this bipartisan amendment to 
preserve the Affordable Connectivity Program (ACP). Losing this benefit 
would impact the daily lives of the most vulnerable among us--the 23.3 
million people who rely on Internet access for their jobs, healthcare, 
education, and so much more. Internet access isn't just a luxury; it's 
the lifeblood of our society. We ask Congress to preserve this benefit 
for those who have come to rely upon it.''
Tom Ferree, Chairman & CEO of Connected Nation

``EducationSuperHighway thanks the bipartisan group of Senators for 
their work to preserve the Affordable Connectivity Program, which has 
helped more than 23 million households get online and stay connected to 
the digital economy, education, healthcare, the social safety net, and 
critical government services. This amendment provides critical bridge 
funding to support the millions of Americans who are unable to access 
vital online resources without affordable home broadband. We look 
forward to working with Congress to create a permanent broadband 
benefit that closes the broadband affordability gap, which accounts for 
two-thirds of our Nation's digital divide.''
Adeyinka Ogunlegan, Vice President, Government Affairs and Policy,
EducationSuperHighway

``The Affordable Connectivity Program has helped 23 million households 
stay connected to education, work, health care and opportunity. The 
National Consumer Law Center, on behalf of its low-income clients, 
urges the passage of this bi-partisan amendment to the FAA to ensure 
continuation of this essential program.''
Olivia Wein, Senior Attorney, National Consumer Law Center

``Fully funding the Rip and Replace Program is critical to securing our 
Nation's networks, including those serving rural areas, military bases, 
airports, and other areas of strategic importance,'' said Tim Donovan, 
CCA's President and CEO. ``Absent full funding, millions of Americans 
face complete loss of connectivity and jeopardized access to emergency 
services. Additionally, the ACP helps bridge the digital divide, 
benefiting 23 million households, including seniors and veterans, many 
in the same areas affected by the potential loss of service due to the 
Rip and Replace shortfall. Addressing both of these issues immediately 
is critical for supporting and maintaining connectivity across the 
country, especially in rural areas and low-income communities.''
Tim Donovan, CCA's President and CEO

``The Affordable Connectivity Program is America's promise that 
opportunity will remain available, no matter a household's financial 
circumstance. This amendment is a $6 billion bipartisan commitment to 
keep that promise. The Benton Institute for Broadband & Society urges 
its swift passage so that 23 million households do not experience 
disruptions in their essential connectivity.''
Drew Garner, Director of Policy Engagement, Benton Institute for 
Broadband & Society

``Common Sense Media appreciates the steadfast support of this 
bipartisan group of Senators to ensure the continuation of the 
Affordable Connectivity Program. More than 23 million households rely 
on ACP to learn, work, and access healthcare. This amendment will 
ensure that our students will have consistent access to the Internet at 
home as they finish their end of term projects and study for finals.''
Amina Fazlullah, Head of Tech Policy Advocacy, Common Sense Media

``The National Digital Inclusion Alliance and our community of 1700+ 
affiliates thanks the bipartisan group of Senators for their work to 
extend the Affordable Connectivity Program. This act and the ongoing 
work to find a permanent solution for funding a broadband benefit gets 
our country a step closer to students doing their homework at home 
rather than in parking lots, to veterans receiving health support 
online, and job seekers matching with employers.''
Angela Siefer, Executive Director of the National Digital Inclusion 
Alliance

``The National Lifeline Association (NaLA) thanks Senators Lujan, 
Welch, Vance, Wicker, Rosen, and Daines for their amendment to the FAA 
bill that would fund and reform the Affordable Connectivity Program 
(ACP). Internet access in our digital era is absolutely essential, 
particularly for seniors, rural communities, and veterans who 
participate in and depend on the ACP every day to connect to 
telehealth, education, jobs, and community. This is a critically 
important amendment and we urge Congress to include this amendment in 
the must-pass FAA reauthorization.''
David B. Dorwart, Chair, National Lifeline Association (NaLA)

``We applaud the bipartisan amendment in the Senate to extend the ACP. 
We call on the Senate to move quickly to add this amendment to the FAA 
Reauthorization legislation to ensure that 23 million families don't 
lose Internet access. This amendment demonstrates that Congress can put 
politics aside. The Senate should move quickly so this extremely 
popular program can continue. By doing so, Congress would give 
themselves and the FCC time to start the process of reforming the 
Universal Service Fund so it can provide a permanent funding mechanism 
for low-income families to get and stay connected.''
Gigi Sohn, Spokesperson for the Affordable Broadband Campaign

``Millions of low-income Americans are at risk of losing Internet 
access as the Affordable Connectivity Program runs out of funding. As 
we argued at our rally just last week, broadband is an essential 
communications network for all. The ACP is critical for providing 
access to broadband and the education, healthcare, and economic 
opportunities that it provides. Our ultimate goal then and now remains 
to save the program so we do not disrupt service for any enrollees--the 
families who need the ACP most. We support this compromise, bipartisan 
amendment for its ability to bridge the funding gap while Congress 
continues working on a long-term solution. Congress must pass this 
amendment immediately. After that vote, the work is not done until we 
have a sustainable long-term fund for broadband affordability and other 
solutions to the digital divide.''
Chris Lewis, President and CEO of Public Knowledge

``I am very pleased to see this bipartisan amendment submitted to the 
FAA Reauthorization Act. The amendment would provide much needed 
funding to ensure that American families and veterans stay connected, 
our networks remain safe and secure from foreign adversaries, and we 
continue to use every usable spectrum band to fuel our wireless 
networks. These measures are all necessary to promote the U.S.'s 
competitiveness and close the digital divide for good.''
Joel Thayer, President of the Digital Progress Institute

``Extending the Affordable Connectivity Program is critical to 
connecting every American to high-speed, affordable internet. It is 
currently the best tool we have to bridge the digital divide. Pew 
applauds Congress' collaboration and encourages lawmakers to support 
this bipartisan amendment. With millions of people lacking access to a 
service that has become essential for quality of life and economic 
well-being, the time to act is now.''
Kathryn de Wit | project director, The Pew Charitable Trusts' broadband 
access initiative

``CWA members strongly support the continuation of the Affordable 
Connectivity Program which enables critical Internet access for 
millions of American families and supports good jobs in our 
communities. We are encouraged that a bipartisan group of Senators is 
working to prevent the ACP from completely shutting down and on a 
permanent funding solution.''
Shane Larson, Communications Workers of America Senior Director for 
Government Affairs and Policy

``The SHLB Coalition strongly supports the Lujan/Vance amendment to 
preserve funding for the Affordable Connectivity Program (ACP). The 
Senate should move quickly so this extremely popular program can 
continue. Broadband access is essential for education, healthcare, and 
economic opportunity. The ACP plays a crucial role in bridging the 
digital divide and ensuring that all Americans have a fair shot at 
success.''
John Windhausen, Executive Director at SHLB

``The R Street Institute is proud to support this important proposal to 
extend both Rip and Replace and the Affordable Connectivity Program 
(ACP) with an appropriate pay-for. This proposal makes meaningful 
reforms to target customers most in need and streamline eligibility 
requirements, which R Street has long supported achieving in a revenue-
neutral way. While this will only temporarily extend the ACP, R Street 
hopes the efforts of the Universal Service Fund (USF) working group 
continues to find a solution and permanent home for this program within 
USF.''
Jonathan Cannon, Policy Counsel Technology & Innovation at the R Street 
Institute

``The Center for Civil Rights and Technology commends the amendment 
from Senators Lujan, Daines, Welch, Vance, Rosen, and Wicker that 
provides $6 billion in funding for the FCC's Affordable Connectivity 
Program (ACP). Lack of high-speed Internet access among low-income 
people, communities of color, and other marginalized communities is 
concerning, especially at a time when millions need the Internet to 
further their education, earn a living, and access essential goods and 
services. The strength and continuation of the ACP is essential to our 
mission to ensure digital equity. With the number of days ticking down 
for ACP solvency, the Center believes this is the only viable path 
forward to ensuring more than 23 million families are not disconnected. 
The Center also urges lawmakers to secure permanent funding for this 
critical program.''
Koustubh ``K.J.'' Bagchi, Vice President of the Center for Civil Rights 
and Technology

``WIA is proud to join the collective support for S. Amdt. 2024 to the 
Securing Growth and Robust Leadership in American Aviation Act (H.R. 
3935). This critical bipartisan amendment, offered by Senators Lujan, 
Daines, Vance, Welch, Rosen, and Wicker, seeks to address the urgent 
need for full funding of the Secure and Trusted Communications Networks 
Reimbursement Program, known as the Rip & Replace Program, which 
currently faces a significant shortfall of $3.08 billion. In addition, 
the amendment extends funding for the Affordable Connectivity Program 
(ACP) by allocating $6 billion, ensuring that crucial connectivity 
services remain accessible to underserved communities across the United 
States.
These measures are essential to safeguarding our Nation's 
communications infrastructure while promoting digital equity and 
inclusion. The Rip & Replace Program will enhance the security and 
resilience of our telecommunications networks, while the extension of 
ACP funding will enable millions of Americans to stay connected. WIA 
stands with our industry partners in urging support for this important 
amendment to bolster our communications networks and enhance 
connectivity for everyone.''
Wireless Industry Association

    Senator Lujan. I think we can get there. We can find a way 
to work together. We can address concerns to ensure that we're 
going to have real broadband connectivity across the country 
that's fast and that's affordable.
    Now we know the stakes are simply too high, especially with 
our veterans and students, families, rural, and older 
Americans. So over the next week, I'm committed to continue 
working with my colleagues to extend this program, and once we 
do that, I look forward to bringing forth this long-term 
solution to permanently fund these programs with reforms with 
the work of the Universal Service Fund Working Group.
    Now with that, I will close the hearing. Should members 
have additional questions for the witnesses for the record, I 
ask that they submit them to the Committee within two weeks, 
and witnesses will have an additional two weeks to respond.
    So everyone, thank you so very much for your time. I thank 
the staff for helping us get this done. This hearing is closed.
    [Whereupon, at 12:15 p.m., the hearing was adjourned.]

                            A P P E N D I X

[GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT]

                                 ______
                                 
   Response to Written Question Submitted by Hon. Tammy Duckworth to 
                             Kathryn de Wit
Affordable Connective Program Impact on Military Families and Veterans
    In 2018, the Federal Communications Commission released a report on 
the state of broadband access and adoption by veterans in which it 
determined a key barrier to broadband adoption for veterans was due to 
the monthly cost of an Internet subscription. More recently, in an 
April CNET article, Department of Veterans Affairs Press Secretary 
Terrence Hayes commented about the Affordable Connectivity Program, 
``If the program ends, then some veterans will have to pay $30 to $75 
more for access to the Internet every month--and others may lose access 
to the internet entirely. That's unacceptable, especially at a time 
when telehealth has become such an important tool.''

    Question. How has the digital divide uniquely impacted military 
families and veterans? What impact has the Affordable Connectivity 
Program had on our servicemember and our veterans? Why do you think 
nearly half of the households benefitting from the Affordable 
Connectivity Program are military families?
    Reliable and affordable Internet connections are essential to U.S. 
military veterans accessing the benefits they have earned--from 
education and home loans to healthcare. However, 15 percent of all 
veterans in the U.S. and 27 percent of rural veterans do not have an 
Internet connection. ACP helps bridge that divide and connects veterans 
and active military with the critical resources they need.
    Veterans can qualify for ACP through a number of channels--more 
than 1.1 million households are enrolled because they receive VA 
Veterans Pensions or Survivors Benefits, and 1.2 million veteran 
households qualify through SNAP.
    It is abundantly clear that these families rely on the broadband 
benefits afforded by the program.\1\ Access to health care through 
telehealth services is an essential resource for veterans. In 2018, 
just 13 percent of veterans who received health care from the VA did so 
through VA telehealth programs. From January 2020 to January 2021, the 
number of telehealth appointments offered by the VA increased by 1,831 
percent. In 2022, approximately one million veterans used telehealth 
services for mental health care. Veterans are not only older on average 
than other Americans (61 years old to 45 years old), but they are also 
twice as likely to be disabled, underscoring why access to digitally-
enabled medical care--from telehealth to wearables--is necessary.
---------------------------------------------------------------------------
    \1\ Pew has not explored in great detail why the percentage of 
households with veterans enrolled in ACP is high, or even higher than 
other covered populations. But it is an important question worth 
researching and would require additional time, resources, and 
collaboration with the Department of Veterans Affairs.
---------------------------------------------------------------------------
    Veterans and active-duty members of the military are also using the 
Internet to break down barriers to education and employment 
opportunities, as the group is more likely to seek degrees online than 
their non-military peers. Twenty-four percent of veterans receiving 
education benefits are enrolled in an online program, compared to just 
14 percent of all undergraduates. Remote work has also helped bridge 
the digital divide, as it has been shown to ease the transition for 
veterans suffering from post-traumatic stress disorder as they enter 
the workforce.
    Allowing ACP to lapse could roll back the progress made for 
veterans and others and put additional financial pressure on millions 
of veterans' households, including the 4.4 million who live in rural 
areas, of which 44 percent make $35,000 or less annually. This could 
result in households having to choose Internet plans with lower speeds 
and capabilities or cancel their subscription. Millions of Veterans 
rely on this benefit to afford quality Internet plans that allow them 
to access healthcare resources, education, and employment 
opportunities, and they could struggle to maintain access if ACP ends.
                                 ______
                                 
      Response to Written Questions Submitted by Hon. Ted Cruz to 
                             Kathryn de Wit
Technology Neutrality
    You testified during the hearing about the difficulties and high 
costs associated with serving rural locations. One of the ways to 
reduce deployment is allowing subsidies, like the Broadband Equity 
Access and Deployment (BEAD) Program, to be technology neutral and not 
favor one broadband technology (e.g., fiber) over others (e.g., fixed 
wireless or satellite) that can deliver similar speeds at a much lower 
cost.

    Question 1. Do you have concerns regarding the administration of 
the BEAD program with respect to technology bias?
    Answer. Cornell University's research (2023) found that most states 
employed technology neutral policy in statute and state-funded grant 
programs. This included expanding applicant eligibility to incorporate 
non-traditional Internet service providers (i.e., cooperatives) 
offering a multitude of technologies--including wireless. States scored 
applications using a range of tactics, including scalability and long-
term capability. Of the 724 state grant program awards across 17 
states, Cornell found that more than half (57 percent) went to fiber 
projects.
    The BEAD program is designed to ensure unserved and underserved 
communities receive high-speed, reliable Internet access. While BEAD's 
authorizing statute and funding rules favor fiber and upgraded cable 
technology, past research from The Pew Charitable Trusts and Cornell's 
2023 report indicate that states will pursue a range of technologies to 
meet congressional goals. Fiber deployments provide the most 
reliability, higher speeds, and can be more easily scaled to meet 
future speed and capacity demands and keep pace with the evolving needs 
of the internet. Applications from providers proposing to use 
alternative technologies that offer less reliable or lower speeds will 
be considered by state broadband offices if the cost for a fiber 
deployment is unreasonably high, as determined by each state's high-
cost threshold and the National Telecommunications and Information 
Administration (NTIA).

    Question 2. Do you agree that a technology neutral approach for 
Federal broadband programs would reduce costs and increase deployment?
    Answer. While deploying networks cost efficiently and without delay 
is important, so are considerations for the long-term return on 
investment. Different technologies may meet minimum requirements, such 
as speeds above 25/3 Mbps, and can be faster and cheaper to deploy, but 
may introduce other limitations that impact the quality or reliability 
of service for the user. Although fiber can be expensive to deploy, it 
is more future-proof than other technologies because of how easy it is 
to upgrade and scale to meet technologically driven demands of 
today's--and tomorrow's--economy. However, it is important to note that 
Pew is not in favor of fiber connecting every household. Rather, our 
research concluded that ``setting a forward-looking goal focuses state 
investment on infrastructure that will continue to meet future needs.''
    Our research shows that BEAD's approach to first consider fiber 
projects before evaluating alternative technologies strikes the right 
balance of delivering high-speed, reliable service while protecting 
taxpayer-funded investments. BEAD helps guarantee that an unserved 
community that is funded by BEAD will be served for generations to 
come.
Affordable Connectivity Program
    Question 3. Your written testimony states ``ACP recipients pay a 
median of $40 a month after the benefit is applied.'' Please provide 
the citation for this data point.
    Answer. A January 2023 survey from the Benton Institute found that, 
``When asked what they pay for Internet service after the ACP subsidy, 
the median figure cited by households that had signed up for fixed 
service was $40 per month.''

    Question 4. Your written testimony cites statistics on who benefits 
from ACP from a recent Benenson Strategy Group survey in partnership 
with--i.e., paid for by--a telecommunications provider receiving ACP 
(Comcast). According to the methodology of that survey, the sample size 
was 1,600 people who ``are eligible for ACP,'' with an ``over 
sampling'' of people enrolled in ACP, reported as ``801.'' Does this 
methodology and sample fit the standards for surveys at Pew Charitable 
Trusts?
    Answer. We appreciate your question regarding the veracity of the 
methodology used in this report. As documented in the testimony 
submitted to the Committee, there are shortcomings with the data 
available on ACP enrollment. Further, more research is needed to 
adequately understand the long-term effects of this program, including 
on competition in the marketplace.
    Generally, Pew does not comment on the methodology of other studies 
unless we have full access to the underlying approach, design, and 
goals of the research. However, upon review, the Benenson Strategy 
Group methodology follows best practices for survey research, as 
reported by the American Association of Public Opinion Research 
(AAPOR). Additionally, BSG follows many of the transparency guidelines 
outlined by AAPOR, including a listing of the data collection strategy, 
the sponsor of the research, and the population under study.
    Finally, it is Pew's view that oversampling for the population of 
ACP participants was appropriate given the nature of the population in 
question for the survey. Oversampling can be a useful tool for 
analyzing smaller groups of a given population. In this case, the 
smaller group was ACP recipients. Furthermore, the methodology section 
makes clear that ``ACP Participants'' in the report ``reflect American 
adults who are aware that their household participates in the 
Affordable Connectivity Program.'' Oversampling, in this case, provides 
for more reliable estimates of the impact of ACP on those benefiting 
from the program.

    Question 5. Your written testimony cites another telecommunications 
provider survey (Cox). This survey states it had 551 respondents in six 
states of approximately 6,000 customers. There is no indication in the 
methodology section as to whether this population received ACP.

    a. What does this survey tell us about the impact of ACP on rural 
broadband as opposed to simply reporting general benefits of having 
broadband?
    Answer. This survey was not designed to show the impact of ACP on 
rural broadband.

    b. What evidence has Cox provided that there has been an increase 
in rural access as a result of ACP?
    Answer. This report does not evaluate the impact of ACP on rural 
access.
    At this time and with the available data, it is unclear what 
percentage of this funding has gone specifically to rural areas. More 
data is needed to assess this question and to ascertain the impact of 
ACP on rural customers.
    Question 6. Before ACP, broadband companies would compete for 
customers by offering lower prices and/or better service. With ACP's 
$30 subsidy, there is no competitive benefit to offering a service for 
less than $30 a month. Consequently, ACP discourages competition on 
price.

    c. Please provide the Committee with evidence of broadband 
offerings at less than $30 per month since the program began and before 
it was announced that it was ending.
    Answer. The National Digital Inclusion Alliance maintains a list of 
free and low-cost Internet plans for consumers, several of which were 
available before ACP existed, including Comcast's Internet Essentials 
for less than $10 per month.

    d. Please provide the Committee with evidence of changes in the 
frequency of customers switching broadband providers before and after 
ACP.
    Answer. We are not aware that any such dataset exists.

    Question 7. You stated in your testimony that ACP is essential to 
the success of the BEAD program. Does Pew view ACP as a substitute for 
the high-cost program at FCC, which provides subsidies to telecom 
providers in exchange for providing service to rural consumers at rates 
that are reasonably comparable to those charged in urban areas?
    Answer. The ACP and Universal Service Fund (USF) high-cost programs 
are not substitutes but should work in harmony, playing vital and 
complementary roles in achieving broadband access. Specifically, USF 
will play a role in addressing supply-side barriers to network 
deployment and operations, while affordability subsidies, such as ACP, 
address demand-side cost considerations for customers and Internet 
service providers.
    More specifically, the ACP ensures that broadband is affordable to 
consumers in low return-on-investment areas, thereby translating 
deployment into actual adoption. The high-cost program, on the other 
hand, provides financial support to ISPs, empowering them to expand 
broadband networks in rural areas facing geographic and economic 
challenges. Both programs are essential in fulfilling the 
congressionally mandated goal of universal broadband service.

    Question 8. How much BEAD funding is anticipated to go to the urban 
consumers that make up the vast majority of current ACP recipients?
    Answer. At this time, we cannot quantify precisely how much BEAD 
funding will go directly to rural or urban areas as states must first 
complete the adjudication of their challenge processes to determine a 
final list of BEAD-eligible locations.
    State officials will determine where this funding is directed, and 
we do have recent evidence from the U.S. Treasury Department's Capital 
Projects Fund (CPF) suggesting states will tailor solutions to fit 
their specific needs. For example, multiple states prioritized rural 
broadband expansion through CPF-funded projects or created multiple 
grant programs focused on both urban and rural areas. We anticipate 
that states will develop policies and programs similar to BEAD funding, 
but it is too early to definitively assess what those will be.
                                 ______
                                 
      Response to Written Questions Submitted by Hon. Ted Cruz to 
                              Blair Levin
Affordable Connectivity Program
    Question 1. In your opening statement, you write: ``But we do know 
53 percent rural survey respondents and 47 percent of all respondents 
reported having either zero Internet connectivity or relying solely on 
mobile Internet service prior to receiving their ACP benefit.''

    a. What is your reason for counting households with only mobile 
service in the same bucket as households with no service at all? Do you 
consider these types of households to be similarly situated?
    Answer. The key points to my answer are briefly summarized 
immediately below, with a more complete answer provided thereafter.

   As the FCC and Congress have correctly found, mobile 
        services and in-home broadband are not perfect substitutes, 
        with each serving functions that should be universally 
        accessible.

   Part of the difference relates to the functionalities 
        inherent in different screen and key board sizes, while other 
        differences relate to market-based realities such as data caps.

   A key strength of the current ACP program is its flexibility 
        in giving customers choice over the selected service they opt 
        into.

   The program in the future should maintain that strength so 
        that the recipients can choose the best service or services for 
        their needs as technologies and markets evolve.

    Thank you for the opportunity to clarify my thinking behind that 
statement. It is a good question, though the answer is complicated, 
requiring both a look back at history but also an understanding of 
potential changes in the market in the future.
    My basic answer is that today, there is an important distinction 
between mobile services on a smart phone and broadband services 
provided in the home to a computing device with a larger screen. In 
that sense, the homes in the question are not similarly situated.
    The history here is important. In 1985, during the Reagan 
Administration, the FCC created the Lifeline program, designed to 
assure that all Americans had access to a minimum level of voice 
services to communicate with emergency services, jobs, and family. 
During the George W. Bush Administration, the FCC allowed the Lifeline 
subsidy to be used for mobile services.
    Both decisions by Republican FCCs stand up well in the light of 
history. The Reagan era Lifeline program served its purposes well. But 
so did the adjustment to market changes done under the George W. Bush 
FCC. Today, more than 90 percent of the Lifeline funds go to mobile 
services.\1\ This makes sense, particularly as to emergency services, 
where emergencies often happen outside the home, and voice services, 
which are now largely done on mobile devices.
---------------------------------------------------------------------------
    \1\ https://www.benton.org/sites/default/ files/
reimagininglifeline_final1_0.pdf
---------------------------------------------------------------------------
    But just as the George W. Bush FCC recognized, the world does not 
stay static. After the 2010 National Broadband plan, the FCC, under 
both Democrats and Republicans, recognized that universal service funds 
should no longer be allocated to voice only networks but should be 
restructured to reflect that communications are now dependent on 
broadband networks, and that we should analyze and acknowledge how 
different networks serve different purposes. Under both the Obama and 
Trump administration, changes were made to the universal service 
program generally and further changes were made to the Lifeline 
program.\2\
---------------------------------------------------------------------------
    \2\ The specific changes to Lifeline are not relevant here except 
to reflect that problems in the program do not justify ending them but 
rather should cause analysis and course corrections, as the FCC has 
done.
---------------------------------------------------------------------------
    Further, in 2021 Congress, on a bipartisan basis, came to a similar 
and important conclusion, finding that ``Access to affordable, 
reliable, high-speed broadband is essential to full participation in 
modern life in the United States;'' and that ``(t)he persistent 
`digital divide' in the United States is a barrier to the economic 
competitiveness of the United States and equitable distribution of 
essential public services, including health care and education.''
    Congress was right to do so. And we should recognize that there are 
many uses of broadband services that we want people to be able to do 
that require a larger screen, different functionalities, and different 
kinds of keyboards than mobile phones offer. These include performing 
jobs that require document production, job training, job placement 
activities, doing homework and associated research, many (though not 
all) telehealth services, and interactions with government social 
services, among others.
    The difference between mobile and fixed is not just a function of 
screen sizes. There is also a market difference in that low-end mobile 
services often include a data cap that makes certain uses, such as 
homework, job training, and telehealth, problematic from the point of 
view of the user. My point is not that such data caps should be 
regulated; after all, such data caps reflect the reality that spectrum 
through the air is a scarcer resource than spectrum in a wire. My point 
is that that policy makers should understand that while mobile services 
for low-income users carries with it restrictions on how much they can 
use the service, fixed services for low-income households generally do 
not have those restrictions.
    An example of how these factors demonstrate the difference between 
the common mobile plan and in-home broadband can be seen in a study by 
the Quello Center which noted that ``contrary to some expectations that 
students can get by through the use of a cell phone as a substitute for 
high-speed home Internet access, those who rely on a cell phone only 
for Internet access outside of school experience as large, or larger, 
gaps in performance than those with no home Internet. Unlike their 
peers, students who are dependent on a cell phone for Internet access 
outside of school rely on smaller screens with slower devices, have 
access to content with fewer features, and need to monitor data caps 
and recharge pre-paid phone plans.'' \3\
---------------------------------------------------------------------------
    \3\ https://quello.msu.edu/wp-content/uploads/2020/03/
Broadband_Gap_Quello_Report_MSU
.pdf#page=5
---------------------------------------------------------------------------
    Considering that history and the practical consumer realities, I 
see mobile and fixed broadband as related but not perfect substitutes. 
That is, while there are functions that can be done on both, there are 
other functions, critical to public policy goals, that as a practical 
matter can only be done on one or the other.
    That is why, at least for now, I would count households with only 
mobile service in the same bucket as households with no service at all.
    Having said that, we should be conscious that technologies and 
functionalities evolve. It could be that mobile networks provide the 
necessary bandwidth--some would argue they already do--to accomplish 
the public policy goals, provided the recipient has the computing 
devices necessary for activities related to public purposed, such as 
education, job training and placement, and health care.
    In this regard, I think one strength of the current ACP program is 
its flexibility in giving customers choice over the selected service 
they opt into. Going forward, I would hope that the FCC and Congress 
evaluate current practices and continue to structure the program to 
optimize for flexibility and consumer choice for program recipients.

    b. Given that, per the FCC's data, the majority of ACP recipients 
(55.9 percent) choose to apply ACP to their mobile phone subscriptions, 
do you believe that ACP has not been successful for this cohort of 
recipients?
    Answer. The key points to my answer are briefly summarized 
immediately below, with a more complete answer provided thereafter.

   The ACP has largely been a successful program.

   Every new program has flaws that require study and 
        adjustment.

   The data cited, which is likely out of date, ignores how the 
        predecessor program, the EBB, was a mobile program and how the 
        percentage using the funds for mobile has gone down and is 
        likely to go further down.

   The key, as noted in the answer to 1a, is for the government 
        to structure the program so that recipients have practical 
        access to all the essential services that are now offered 
        online.

    As a preliminary matter, let me repeat what I said in my testimony. 
I am in complete agreement with the 20 House Republicans who wrote to 
Speaker Johnson last month asking for action on ACP, who wrote that 
``We believe that bipartisan solutions are within reach to ensure 
uninterrupted access to the ACP while concurrently pursuing long-term 
funding strategies.'' That is, I hope Congress would provide an ACP 
extension and then, as part of a larger and necessary Universal Service 
Fund reform effort, design a more efficient and sustainable program 
that moves us toward universal adoption.
    So here, while I believe Congress should provide funding to extend 
the current ACP program, I also would support reforms to all universal 
service programs that achieve the goals but in more through a more 
efficient and sustainable framework.
    Specifically, to your question, I would hope that the FCC and 
others would provide the information necessary for Congress to evaluate 
why those ACP recipients chose to apply ACP to mobile, as opposed to 
in-home, subscriptions. Such an analysis should look at other barriers 
to adoption, such as the availability of the service and/or devices, 
different pricing strategies, and the role of digital literacy, among 
other potential reasons that might be relevant to how the program is 
structured in the future.
    Having said that, I want to be clear that I would not challenge the 
good faith of the recipients, who are in a far better position than I 
to evaluate what is in their best interest. But such an analysis would 
be helpful in considering how to structure the program going forward.
    Further, I would guess that a significant percentage of the 
wireless usage was driven by the history of the program in which the 
Emergency Broadband Benefit (EBB) that preceded the ACP was primarily a 
mobile program. Based on conversations I have had in the context of my 
Wall Street work as well as data I have seen,\4\ I believe that the 
percentage of the use of ACP for mobile has, in fact, declined from its 
early days. The data therefore suggests that the FCC data you cite may 
be out of date and more up to date studies would show that a higher 
percentage of ACP recipients chose to use the subsidy for a wireline 
service.
---------------------------------------------------------------------------
    \4\ On 12/31/2021 (end of EBB) enrollment was 67 percent mobile, 33 
percent fixed. https://www.usac.org/about/emergency-broadband-benefit-
program/emergency-broadband-benefit-program-enrollments-and-claims-
tracker/additional-ebb-program-data/ By 02/08/2024 (end of ACP), 
enrollment was 56 percent mobile, 43 percent fixed. https://
www.usac.org/about/affordable-connectivity-program/acp-enrollment-and-
claims-tracker/additional-acp-data/ Also, the data show a huge spike in 
Lifeline-pathway enrollment right at the beginning of EBB, which makes 
sense given Lifeline providers were well positioned to move fast. 
Presumably most of those were mobile users.
---------------------------------------------------------------------------
    But as noted in my answer to your question 1a, I am of the view 
that for purposes of adequately responding to the Congressional finding 
noted above regarding how ``access to affordable, reliable, high-speed 
broadband is essential to full participation in modern life in the 
United States'' and to the ``equitable distribution of essential public 
services, including health care and education,'' we should seek to 
structure a permanent program that achieves universal access to both 
mobility and to in-home broadband services.
    There are multiple ways to do so. One could have two separate 
funds, one solely for mobility and one solely for in-home broadband. 
However, given the current trends toward convergence--a key trend that 
communications investors see as one of the most important indicators of 
where they should be investing--in which some traditional fixed 
providers (cable) are offering mobile services and traditional mobile 
providers (such as AT&T, Verizon, T-Mobile) are offering fixed services 
as well, I would urge policy makers to structure the ultimate long-term 
program to enable the private sector to develop different options that 
accomplish the same goal: universal mobility and in-home broadband. 
Again, the key here is the flexibility to enable the program recipients 
to respond to both their own needs and changes in the market, as well 
as driving ISPs to compete for their business.
    Finally, the question implies that the results to date challenge 
the success of the ACP program. I have been involved in public policy 
debates, as a participant or an observer for over 30 years. It always 
amazes me the way inside some inside the beltway have the view that any 
problem in a program, particularly a new program, justifies a failing 
grade. That is not the way the world works. Every organization--
private, public, or non-profit--will try things, study the results, and 
then adjust the program to improve its effectiveness.
    The FCC's spectrum auction program is the most successful 
telecommunications policy innovation of all time, both in the United 
States and abroad, where countries around the world followed the model 
established in the United States in the mid-1990s. Spectrum auctions 
succeeded, where other methods like comparative hearings and lotteries 
failed, in efficiently allocating and reallocating spectrum to higher 
and better uses.
    But having been present at the creation, I am acutely aware of 
mistakes we made early on in some of the early auctions, mistakes for 
which I bear some responsibility. But the important thing was that--and 
here the FCC staff and leadership deserve the credit--the institution 
learned from those mistakes and quickly pivoted to changes that made 
the program one that has been replicated around the world.\5\
---------------------------------------------------------------------------
    \5\ From a perspective of 2024, spectrum auctions may seem obvious 
and simple. From the perspective of 1993, when Congress authorized the 
FCC to allocate spectrum through auctions, it was not. But the FCC 
consulted the best minds for creating the auctions and decided to use 
an innovative simultaneous multi-round ascending auction design. That 
design worked, as indicated by, among other things, the success of 
nearly all the auctions, the use of theory that won the 1994 Nobel 
Prize for economics, and the FCC auctions being cited in awarding the 
2020 Nobel prize for economics. But there were hiccups and problems 
along the way.
---------------------------------------------------------------------------
    I would further argue that the ACP program has been, in the grand 
scheme of things, very effective. While there are legitimate 
criticisms, there have also been significant accomplishments. For 
example, a Georgetown McDonough School of Business examination of the 
program in October, 2023 found that based on the data so far, ``(1) the 
ACP has successfully transitioned from the stop-gap EBB program to a 
low-income assistance program that is more stable, and which in less 
than two years has enrolled over 20.6 million households; (2) the 
program has acted to provide standardized vehicles for efficient 
enrollment;\6\ (3) the ACP includes multiple paths to establish 
eligibility, which eases impediments to eligible household 
participation; (4) while large population states have naturally seen 
the largest subscriptions to the ACP, the greatest percentage changes 
in subscriptions have been in more rural, low-population states;\7\ and 
(5) the program appears to have stimulated enrollment within certain 
high populated Native American counties.'' \8\
---------------------------------------------------------------------------
    \6\ In a way that is unusual for government programs, particularly 
in the early days, more than 80 percent of enrollees were satisfied 
with the enrollment process. https://connectednation.org/static_assets/
5a34b1a7-fb9e-4a72-98be-1524f8db1df9/
23_ATT_Mind_The_Gap_9.5_hi.pdf#page
=7
    \7\ This is also consistent with the Dr. Horrigan's research which 
has also found that, as a percentage of total households, ACP 
enrollment in rural areas outpaced urban areas https://www.benton.org/
blog/affordable-connectivity-program-and-rural-america
    \8\ DeStefano, Tim and John W. Mayo ``What do the Early Data 
Indicate about the Affordable Connectivity Program,'' Georgetown 
University, McDonough School of Business, Center for Business and 
Public Policy, October 2023. Available here https://
georgetown.app.box.com/s/dgid
kcv02uo0b70asay69l65syyem39h
---------------------------------------------------------------------------
    In short, your question raises a good point. But the answer lies in 
understanding our goals and then adjusting as necessary to achieve 
those goals. The key, as noted in the answer to 1a, is for the 
government to structure the program so that recipients have access to 
all the essential services that are now offered online. I believe the 
FCC and Congress are up to that challenge, but the path forward to 
success lies in study, constructive debate, and then better solutions, 
not simply criticisms, followed by inaction.

    Question 2. In response to a question from Sen. Lujan during the 
hearing, you emphasized that you were not a health care economist. Yet, 
you claimed the economic benefit of ACP to the health care system would 
be greater than cost of administering ``sometime in the near future.''

    a. What evidence do you have to support this claim?
    Answer. The key points to my answer are briefly summarized 
immediately below, with a more complete answer provided thereafter.

   My written testimony cites many studies indicating 
        significant cost savings and additional studies are included 
        here.

   Broadband is a general-purpose technology that produces 
        productivity gains throughout different sectors of the economy. 
        The cost of providing it to those who cannot currently afford 
        it is relatively small compared to the economic gains that such 
        access would provide, in healthcare and other areas.

   Two House committees recently unanimously passed extensions 
        to telehealth reforms initially adopted to enable telehealth 
        during Covid, implicitly confirming the value of telehealth to 
        improve outcomes and lower costs.

   While I am confident that I am directionally correct, there 
        are many ways to run the numbers. It would be helpful in the 
        context of not just the ACP debate, but also for the future of 
        Medicare, Medicaid, and the Veterans Administration for the 
        Administration and/or Congress to seek an authoritative study 
        on how best to utilize telehealth to improve the outcomes and 
        lower the costs of those programs.

   In doing that study, it is important to ``skate where the 
        puck is going,'' which includes improvements to and increases 
        in the utilization of telehealth.

    My written testimony points to numerous studies that point to 
savings through telehealth. Specifically, I wrote that ``It should not 
be surprising that as a 2021 medical paper found that ``Digital 
literacies and Internet connectivity have been called the `super social 
determinants of health' because they address all other social 
determinants of health (SDOH). For example, applications for 
employment, housing, and other assistance programs, each of which 
influences an individual's health, are increasingly, and sometimes 
exclusively, accessible online. The costs of equipping a person to use 
the Internet are substantially lower than treating health conditions 
and the benefits are persistent and significant, making the efforts to 
improve digital literacy skills and access valuable tools to reduce 
disparities.'' \9\
---------------------------------------------------------------------------
    \9\ https://www.nature.com/articles/s41746-021-00413-8
---------------------------------------------------------------------------
    Similarly, a 2018 a Georgetown Business School paper looking at 
multiple studies found that as to telehealth (referred to in this paper 
as eHealth) the'' deployment of the Internet creates the possibility 
that consumers can access information at significantly lower costs than 
heretofore possible. But does this access to online health-related 
information (i.e., eHealth) improve healthcare behaviors and outcomes? 
We find that eHealth use promotes precautionary and acute healthcare 
consumption and improves health outcomes.\10\
---------------------------------------------------------------------------
    \10\ Macher, Jeffrey T., John W. Mayo and Olga Ukhaneva ``Does the 
Internet Improve Consumer Healthcare Behaviors, Georgetown University 
working paper, October 29, 2018.
---------------------------------------------------------------------------
    But it is not just good for the patient; it is also good for the 
patient's insurance company. As the largest health care insurer, the 
Federal government should want to take advantage of savings such as 
those seen in a recent study \11\ finding the cost savings of using 
telehealth for patients with cancer ranged from $147 to $186 per visit, 
or the University of Pennsylvania study \12\ showing that telemedicine 
was 23 percent less expensive than in-person visits. Cigna found that 
``average cost of a non-urgent virtual care visit is $93 less than the 
average cost of an in-person visit. Seeing a specialist averages $120 
less for a virtual visit than an in-person visit, while a virtual 
urgent-care visit averages $141 less than being seen in an urgent care 
clinic.'' \13\ Similarly, a 2023 study \14\ by the Department of 
Veterans Affairs found that ``veterans who utilized a new tele-
emergency service were nearly half as likely to visit an emergency 
department in-person and showed reduced short-term Veteran visits to 
emergency departments outside of VA.''
---------------------------------------------------------------------------
    \11\ https://jamanetwork.com/journals/jamanetworkopen/fullarticle/
2800164
    \12\ https://www.pennmedicine.org/news/news-releases/2023/june/
employee-telemed-visits-25-percent-less-costly-for-health-system
    \13\ https://newsroom.cigna.com/convenient-cost-effective-and-high-
quality-virtual-care-is-here-to-stay
    \14\ https://www.va.gov/ann-arbor-health-care/stories/new-research-
telehealth-emergency-care-
leads-to-decreased-emergency-department-visits-hospitalizations-
reduced-health/#::text=Health%
20Care%20Costs-
New%20Research:%20Telehealth%20Emergency%20Care%20Leads%20to%20
Decreased%20Emergency%20Department,Hospitalizations%2C%20Reduced%20Healt
h%20Care
%20Costs
---------------------------------------------------------------------------
    Another area where telehealth can improve both costs and outcomes 
is with maternal mortality rates. The United States has an alarming 
trend line in this arena, with an increase of 60 percent in maternal 
mortality between 2019 and 2021.\15\ At the behest of Congress, the 
Federal Communications Commission mapped where maternal mortality is 
highest--and the maps of places where new mothers die at the highest 
rates look a lot like maps of where household Internet subscription 
rates are low,\16\ both being consequences of low household income.
---------------------------------------------------------------------------
    \15\ https://healthcare.rti.org/insights/digital-health-maternal-
outcomes
    \16\ https://www.fcc.gov/reports-research/maps/connect2health/
maternal-health-map.html?bb
Sel=Broadband+Access&mhSel=Maternal+Deaths&bbThresh=90.25&mhThresh=1&md=
2
---------------------------------------------------------------------------
    It is worth noting that there are promising ways to address 
maternal mortality that rely on home broadband for new mothers. In 
Louisiana, Ochsner Health has had success in using digital tools to 
monitor at-home blood pressure and other risk factors for pregnant 
women, resulting in fewer hospital admissions and cesarean section 
procedures. Such remote maternity online monitoring has reduced 
unexpected neonatal intensive-care unit admissions by 27 percent.\17\
---------------------------------------------------------------------------
    \17\ https://www.ama-assn.org/practice-management/digital/how-
digitally-enabled-care-can-improve-postpartum-outcomes
---------------------------------------------------------------------------
    The healthcare benefits of using digital tools extend beyond 
maternal mortality. Telehealth is associated with people maintaining 
their participation in opioid treatment programs \18\ and telehealth 
can reduce the cost of healthcare service delivery with only marginal 
increases in in-person visits.\19\
---------------------------------------------------------------------------
    \18\ https://jamanetwork.com/journals/jamanetworkopen/fullarticle/
2810828
    \19\ https://www.ajmc.com/view/economics-of-a-health-system-s-
direct-to-consumer-telemedicine-for-its-employees
---------------------------------------------------------------------------
    These citations are not exhaustive. For example, as a recent 
article noted ``a significant portion of telehealth visits in 2021--44 
percent to be precise--were related to chronic conditions, which are 
more prevalent in lower-income areas. Research has shown that the use 
of telehealth services can potentially reduce mortality rates and 
hospital stays among lower-income patients.'' \20\ In this regard, let 
me also point to a study cited in the 2010 National Broadband Plan that 
found that remote monitoring could generate net savings of $197 billion 
over 25 years from just four chronic conditions.\21\ Further, as the 
2010 National Broadband Plan also found ``video consultations could 
lead to $1.2 billion in annual savings through avoiding costs from 
moving patients from correctional facilities and nursing homes to 
emergency departments and physician offices.'' \22\ The Plan pointed to 
even greater savings through the use of telehealth for the Veterans 
Health Administration (VHA) where a Care Coordination/Home Telehealth 
(CCHT) program ``led to a 25 percent reduction in bed days of care and 
a 19 percent drop in hospital admissions. At $1,600 per patient per 
year (the cost of the CCHT program), it costs far less than the VHA's 
home-based primary care services ($13,121 per year) and nursing home 
care rates ($77,745 on average per patient per year.)'' \23\
---------------------------------------------------------------------------
    \20\ https://www.statnews.com/2023/07/20/acp-internet-access-
health-care/
    \21\ Robert Litan, Better Health Care Together Coalition, Vital 
Signs Via Broadband: Remote Health Monitoring Transmits Savings, 
Enhances Lives (2008), available at http://www
.betterhealthcaretogether.org/Library/Documents/
VITAL%20SIGNS%20via%20BROADBAND%
20FINAL%20with%20FOREWORD%20and%20TITLE%20pp%2010%2022.pdf
    \22\ CITL, The Value of Provider-to-Provider Telehealth 
Technologies. CITL modeled pre-and post-telehealth costs based on 
national baseline number of transports, transport cost, and number of 
avoided transports. Annual savings were calculated by subtracting post 
telehealth costs from pre-telehealth costs for each provider-to-
provider setting. These savings sum to $1.2 billion.
    \23\ Adam Darkins et al., Care Coordination/Home Telehealth: The 
Systematic Implementation of Health Informatics, Home Telehealth, and 
Disease Management to Support the Care of Veteran Patients with Chronic 
Conditions, 10 Telemed. & e-Health 1118, 1118 (2008), available at 
http://www.liebertonline.com/doi/pdf/10.1089/tmj.2008.0021?cookieSet=1
---------------------------------------------------------------------------
    This savings should not be surprising. As the Georgetown study 
noted ``online health-related information appears to shift some 
proportion of healthcare consumption from acute to precautionary care 
(e.g., via increased doctor visits) and to improve health outcomes 
(e.g., via reduced hospital stays). As hospital stays are orders of 
magnitude more costly than typical doctor visits, it would seem that 
providers (i.e., hospitals) and insurance companies have vested 
interests in (1) increasing the deployment of broadband technologies, 
and (2) insuring the health information available online is timely and 
accurate.'' \24\
---------------------------------------------------------------------------
    \24\ Macher, Jeffrey T., John W. Mayo and Olga Ukhaneva ``Does the 
Internet Improve Consumer Healthcare Behaviors, Georgetown University 
working paper, October 29, 2018.
---------------------------------------------------------------------------
    It is also important to consider how telehealth is becoming more 
important for certain geographic areas. In 2010, the Plan noted that 
``Video consultation is especially beneficial for extending the reach 
of under-staffed specialties to patients residing in rural areas, 
Tribal lands and health professional shortage areas (HPSAs)'' and that 
at that time sixty-five million people reside in such HPSAs.\25\ The 
number of Americans living in HPSAs is, as of March, now 74,383,347, 
with rural areas representing nearly 67 percent of such areas.\26\ This 
is a problem that is likely to get worse. Since 2005, 104 rural 
hospitals have closed and more than 600 additional rural hospitals--30 
percent of all rural hospitals in the U.S.--are at risk of closing in 
the near future, according to the Center for Healthcare Quality and 
Payment Reform.\27\ There is also a problem with rural hospitals losing 
services. For example, Texas has seen the greatest number of rural 
hospital closures, at 25, but also the greatest number of rural 
hospitals losing services, at 101.\28\
---------------------------------------------------------------------------
    \25\ https://transition.fcc.gov/national-broadband-plan/national-
broadband-plan.pdf Section 10.1
    \26\ Bureau of Health Workforce Health Resources and Services 
Administration (HRSA) U.S. Department of Health & Human Services. 
BCD_HPSA_SCR50_Qtr_Smry.pdf
    \27\ https://www.beckershospitalreview.com/finance/states-with-the-
most-rural-hospital-closures.html
    \28\ Ibid.
---------------------------------------------------------------------------
    In short, there are many ways that telehealth can reduce costs and 
improve outcomes. This is not really a debatable point. As a recent 
witness \29\ testified at a House hearing on telehealth, there is now 
substantial research demonstrating improved outcomes and access across 
numerous specialties and a vast array of healthcare services published 
in recent years.\30\
---------------------------------------------------------------------------
    \29\ The witness was Lee Schwamm, MD, FAHA, the Associate Dean of 
Digital Strategy & Transformation at the Yale School of Medicine and 
the Senior Vice President and Chief Digital Health Officer for the Yale 
New Haven Health System. The witness is also a professor of Neurology 
and Biomedical Informatics & Data Sciences.
    \30\ The testimony can be found at https://democrats-
energycommerce.house.gov/sites/evo-sub
sites/democrats-energycommerce.house.gov/files/evo-media_document/
Lee%20Schwamm_Wit
ness%20Testimony_04.10.2024.pdf. The testimony cited referred to a 
recent study that can be found at Kevin K Wiley, Johnson J, Coleman C, 
Olson C, Chuo J, McSwain SD. Translating Value Across Telehealth 
Stakeholders: A Rapid Review of Telehealth Measurement Evidence and a 
New Policy Framework to Guide Telehealth Researchers. Telemedicine and 
e-Health. April 2, 2024. tps://doi.org/10.1089/tmj.2023.0211
---------------------------------------------------------------------------
    Another way to consider potential cost savings is through 
McKinsey's finding that ``evidence prior to COVID-19 shows that 
telehealth solutions deployed for chronic populations can improve total 
cost of care by 2 to 3 percent.'' \31\ Medicaid spending in FY 2022 was 
$804 billion.\32\ As to the portion attributable to chronic conditions, 
a study on the prevalence and medical costs of chronic diseases among 
the adult Medicaid population noted that ``The high prevalence of 
chronic diseases is a key driver of total U.S. healthcare costs; in 
2010, 86 percent of healthcare spending was for patients with at least 
one chronic condition, and 71 percent of spending was for patients with 
multiple conditions.'' The study further noted that ``Medicaid has 
primarily covered low-income children and parents, pregnant women, and 
the disabled. This population is vulnerable to higher rates of chronic 
diseases than are seen in the U.S. as a whole or even in the low-income 
population overall.'' \33\ Assuring that all Medicaid recipients had 
access to broadband could, under that analysis, save Medicaid billions.
---------------------------------------------------------------------------
    \31\ https://www.mckinsey.com/industries/healthcare/our-insights/
telehealth-a-quarter-trillion
-dollar-post-covid-19-reality
    \32\ https://www.kff.org/medicaid/state-indicator/total-medicaid-
spending/?currentTimeframe
=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D
    \33\ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5798200/
---------------------------------------------------------------------------
    One could also add savings to the government related to the 
Veterans Administration. Military families make up nearly half of all 
ACP recipients.\34\ The Veterans Administration budget is about $302 
billion with 42 percent, or $126 billion, allocated to healthcare.\35\ 
Redesigning the system to assure that all veterans can take advantage 
of telehealth could add additional savings.
---------------------------------------------------------------------------
    \34\ https://www.whitehouse.gov/briefing-room/statements-releases/
2024/02/06/fact-sheet-as-
affordable-connectivity-program-hits-milestone-of-providing-affordable-
high-speed-internet-to-23-
million-households-nationwide-biden-harris-administration-calls-on-
congress-t/
    \35\ https://www.pgpf.org/blog/2024/04/spending-on-veterans-in-the-
budget
---------------------------------------------------------------------------
    None of these studies are ACP focused. But it is reasonable to 
extrapolate savings on chronic conditions, mortality, hospital stays, 
emergency room visits, transport, and many other healthcare services. 
After all, no demographic group is immune from the need for such 
services. And indeed, as noted above, there are certain savings likely 
to be greater on a per capita basis for the ACP population than for the 
general public, such as with monitoring chronic conditions.
    Having said that, you are correct in quoting me to the extent that 
I am not a health economist. The studies cited above suggest that I am 
directionally correct, but I recognize that there are ways to refine 
those numbers to provide a more complete and accurate assessment of the 
potential improvement of outcomes and lower costs of government insured 
health care if all were connected.
    What I hope we could all agree on is that it would be helpful in 
the context of not just the ACP debate--but also for the future of 
Medicare, Medicaid, and the Veterans Administration--for the 
Administration and/or Congress to seek an authoritative study on the 
issue. I think it should be framed in terms of what COVID has taught us 
about the future of healthcare delivery. That episode accelerated the 
movement to online healthcare, and it would serve many public policy 
purposes to have such a study.
    In doing that study, we should incorporate the wisdom of Wayne 
Gretzky, who famously said that the key is to skate to where the puck 
is going. So here, there is a movement by multiple stakeholders to use 
telehealth generally to improve outcomes and lower costs. We should not 
only understand that movement, but we should restructure our 
government's healthcare insurance policies (Medicare, Medicaid, and 
medical services provided by the Veterans' Administration) to take 
advantage of the opportunities created by modern communications 
technology. After all, as discussed in my testimony, broadband is a 
general-purpose technology that produces productivity gains throughout 
different sectors of the economy. The cost of providing it to those who 
cannot currently afford it is relatively small compared to the economic 
gains that such access would provide, in healthcare and other areas.
    In this regard, let me point to and praise the House Ways and Means 
Committee for its recent passage of the Preserving Telehealth, 
Hospital, and Ambulance Access Act by a vote of 41-0 and the House 
Health Subcommittee of the Energy and Commerce Committee for its 
unanimous vote supporting the Telehealth Modernization Act of 2024. I 
hope the House and then the Senate follow. These Acts extend numerous 
provisions adopted to address healthcare needs clearly demonstrated 
during the COVID crisis.
    Two points about it are particularly notable for our discussion of 
the ACP. First, the legislation recognizes that while the COVID 
emergency is over, the movement to online delivery of essential 
services is not. Second, it did not make the changes permanent. It 
created extensions, so that legitimate issues raised in the debate 
could be studied before adopting more permanent rules. There is wisdom 
in both that applies to the ACP; a recognition of the importance of 
telehealth for healthcare delivery and the willingness to keep the 
status quo while studying the details before adopting longer-term 
rules.
    But perhaps the most important message from the unanimous votes in 
the Committees is this. While the House has many issues on which there 
is huge canyons separating the views of the members, it is apparently 
in agreement that increased access to telehealth will result in 
improved outcomes and/or lower costs. If not, why would they have voted 
to provide increased access to telehealth? And if so, don't we want all 
lower income American families whose health insurance is provided by 
the government to take advantage of the efficiencies that the House 
Committees clearly saw in their unanimous actions to extend the 
telehealth provisions?
    In short, given the amount the United States spends on Medicare and 
Medicaid, universal, sustainable broadband should be seen as a huge 
opportunity to improve health outcomes while lowering costs. We should 
seize that opportunity.

    b. Please specify what you mean by ``sometime in the near future.''
    Answer. There are many variables that can affect the timing of any 
technology trend, including government policies. But given the trends 
that I see in communications, artificial intelligence, and healthcare 
delivery, I think in 3-5 years it should be clear that just as being 
online is, in Congress' words, ``essential to full participation in 
modern life in the United States'' and the affordability barrier to 
adoption is a barrier to the ``equitable distribution of essential 
public services, including health care,'' it will be clear that every 
provider of health insurance will want to make sure all the persons 
they cover have in home access to telehealth.

    Question 3. You testified that investing in ACP ``may actually 
result in a. . .net cost savings to the government.''

    a. What evidence do you have to support this claim?
    Answer. Please see the answer to question 2a for some of the 
evidence. As noted, the savings from reductions in the cost of Medicaid 
alone could result in a net gain to the government. And that does not 
incorporate savings from Medicare, the Veterans Administration, and 
other government-funded healthcare programs.
    Further, there are other savings related to other government 
programs. For example, as noted in my written testimony, for lower-
income individuals, adopting in-home broadband increases their 
likelihood of employment by 14 percent, with 62 percent of those newly 
connected households citing the connection as having helped them or a 
family member successfully find employment.\36\ This trend, applied 
across all ACP recipients, would reduce the cost of unemployment 
insurance.
---------------------------------------------------------------------------
    \36\ https://www.aeaweb.org/articles?id=10.1257/pol.20190648
---------------------------------------------------------------------------
    Another set of savings would be found in the administration of 
government services. The U.K. government, for example, estimated that 
it could save up to several billions by shifting 80 percent of public 
services online, with savings likely to come from four key areas: the 
reduced staff time involved in processing digital transactions compared 
to offline alternatives; estates and accommodation; postage, packaging, 
and materials; and the costs of supporting IT systems. Among the more 
dramatic findings were that the cost of digital transactions was 20 
times lower than by phone and 50 times lower than face to face.\37\ As 
a study from the consulting group BCG pointed out, online government 
services can also spur job creation and economic growth. For example, 
when new businesses have a simple path for filing documents and 
obtaining licenses, barriers to entry are lowered and growth 
increases.\38\
---------------------------------------------------------------------------
    \37\ https://www.gov.uk/government/publications/digital-efficiency-
report/digital-efficiency-report
    \38\ Awad, N., Brice, J., Ferrer, S., Kim, H. & Stuart, T. (2022). 
Delivering government services like a digital native. Boston Consulting 
Group. https://www.bcg.com/publications/2022/delivering-customer-
centric-digital-government-services.

    b. Would the net cost saving be immediate? Or would it be down the 
road?
    Answer. It would, if administered properly, be immediate. In 
particular, I would expect savings in healthcare, job training and 
placement, and government services to be immediate upon effective 
adoption.
    Savings related to education are more long term.\39\ For example, 
an analysis from Common Sense Media extrapolated from the previously 
mentioned study from Michigan State University showing the effect of 
connectivity and devices on student performance to show a GDP loss of 
$22b-$33b attributable to bad student connectivity.\40\
---------------------------------------------------------------------------
    \39\ In my oral testimony I mentioned how in the early 2000s, my 
sister, a public-school teacher pointed out my work at the FCC resulted 
in difficulties for her in that many of her students were using 
Internet access to do their homework while others did not have access. 
That problem continues. As Common Sense Media has pointed out ``Over 40 
percent of Title I teachers do not assign work that requires Internet 
access because they fear that doing so would exacerbate inequalities, 
and nearly 60 percent report that a lack of home Internet and computers 
limits student learning.'' Fazlullah, A. & Ong, S. (2019). The homework 
gap: Teacher perspectives on closing the digital divide. Common Sense 
Media. https://www.commonsensemedia.org/sites/default/files/featured-
content/files/homework-gap-report-2019.pdf. My point for raising it 
here is to note that while I would hope we could all agree that those 
fears and the failure to assign certain kinds of homework will be 
negative for our economy down the road, it is difficult to be precise 
about the timing and scope of those costs.
    \40\ https://www.commonsensemedia.org/sites/default/files/research/
report/final_-_what_it
_will_take_to_permanently_ close_the_k-12_ 
digital_divide_vfeb3.pdf#page=7
---------------------------------------------------------------------------
    But the key point policy makers should understand that whatever the 
savings there are today, those savings are likely to grow down the 
road.
    Let me add that in answering your questions two and three, I 
recognize that we should all be humble in understanding that many 
factors, some unknowable today, can affect future outcomes. But while 
we cannot know for future what the future holds, we nonetheless must 
move forward by making reasonable predictions. For the last quarter 
century, most of my work has been with institutional investors who 
every day make investments based on their predictions of the future. 
Some turn out to be true; others don't. But those in that business 
don't have the luxury of throwing up their hands and simply saying 
``who knows?''
    Neither does the Congress. I think Congress was right to invest 
$42.5 billion in rural broadband deployment, but one could argue that 
it should have waited until we were sure wireless would not offer the 
same functionality. Waiting, however, carries its own costs, 
particularly when the evidence is strong that fiber is far more future 
proof. As for the adoption side, as discussed above, I am for more 
through study. But as of now, the data is very clear that directionally 
there are significant savings to be had today from getting all 
Americans online and there will be more savings in the future. 
Ecclesiastes suggested that the race is not always to the swift nor the 
battle to the strong.\41\ Still, as Damon Runyon noted, ``but that's 
the way to bet.'' So here, we as a country should be betting on savings 
from online services growing over time.
---------------------------------------------------------------------------
    \41\ Ecclesiastes 9:11.

    Question 4. During the hearing, you claimed there was a study by 
John Horrigan which estimated that for ``every dollar spent on ACP, we 
---------------------------------------------------------------------------
get a $3.89 increase in GDP.''

    a. Is there a John Horrigan paper that finds this conclusion? If 
yes, please provide a citation for this study.
    Answer. In my written testimony I cited Dr. Horrigan's paper as 
saying, ``Another study found that `every dollar of ACP subsidy returns 
nearly two dollars in impacts to those using the program' due to 
`employment effects that boost household income; and convenience 
effects, e.g., time saved from shopping online as well as having access 
to a greater variety (or quality) of goods.' '' The title of that study 
is ``The Affordable Connectivity Program Creates Benefits that Far 
Outweigh the Program's Costs.'' \42\
---------------------------------------------------------------------------
    \42\ https://www.benton.org/publications/affordable-connectivity-
program-benefits-outweigh-costs.
---------------------------------------------------------------------------
    In that written testimony I cited a different paper related to the 
finding on the increase in the GDP.
    To the extent that my oral testimony implied something different 
than my written testimony, that is my error for which I apologize.
    I would note, however, that there are other studies that come to 
similar findings about how universal broadband access and adoption can 
increase the GDP. For example, a 2021 paper published by the National 
Bureau of Economic Research found that ``moving to high-quality, fully 
reliable home Internet service for all Americans (``universal access'') 
would raise earnings-weighted labor productivity by an estimated 1.1 
percent in the coming years. The implied output gains are $160 billion 
per year, or $4 trillion when capitalized at a 4 percent rate.'' \43\
---------------------------------------------------------------------------
    \43\ https://www.nber.org/papers/w29102

    b. John Horrigan has published a ``brief,'' in which he provides an 
``exploration'' of existing data to develop a benefit-cost analysis. 
According to this brief, ``This exploration finds that every dollar of 
ACP subsidy returns nearly two dollars in impacts to those using the 
program.'' Is this the paper you meant to discuss during your 
testimony?
    Answer. As noted above, that is the brief to which my written 
testimony refers, and it is the brief to which I meant to refer to in 
my oral testimony.

    c. In this brief, Mr. Horrigan states that the FCC's survey finds 
that only 22 percent of the ACP recipients did not have Internet prior 
to ACP. Do you also agree that this is the finding of the FCC survey?
    Answer. I believe that the single data point misrepresents Dr. 
Horrigan's analysis and the historical record.
    A fair reading of Dr. Horrigan's work would start by adopting his 
insight that ACP is part of a three-legged stool that during the 
pandemic helped increase broadband adoption and sustain it for low-
income households. Philanthropic and private sector initiatives were 
important, but the EBB and then the ACP were crucial in making these 
efforts have an impact on a national scale.
    It is then important to consider how Dr. Horrigan describes that 
ACP's predecessor EBB is an important historical antecedent that, if, 
taken into account, would increase that number of households that were 
not connected prior to a government subsidy program. As he writes, ``It 
is hard to escape the fact that pandemic era initiatives (such as 
stimulus checks, the EBB, private-sector marketing initiatives, and 
philanthropic efforts) were responsible for getting a large number of 
low-income households online. The ACP not only sustained this, but 
helped low-income households weather a 2022 that saw a growth in 
inflation, the end of the child tax credit, and other economic 
headwinds. It is worth noting that the data only takes us through 2022 
and it is likely that 2023 ACP signups included significant numbers of 
wireline customers.'' \44\
---------------------------------------------------------------------------
    \44\ https://www.benton.org/sites/ default/files/ACP-Cost-
Benefit_0.pdf
---------------------------------------------------------------------------
    Further, Dr. Horrigan writes that based on his analysis of American 
Community Survey data from 2019-2022, 56 percent of the growth in home 
wireline broadband subscriptions in that time was among households 
whose annual incomes were $50K or less. And 38 percent of the growth 
was from ``under $25K households'' (that make up about 16 percent of 
all households).\45\ ACP and EBB were partly responsible for this.\46\
---------------------------------------------------------------------------
    \45\ A 2023 USC survey of California made similar findings. https:/
/broadbandforall.cdt.ca.gov/wp-content/uploads/sites/19/2023/12/2023-
Statewide-Digital-Equity-Survey-Final-Remediated-Report.pdf#page=19
    \46\ https://www.benton.org/sites/default/files/ACP-Cost-
Benefit_0.pdf
---------------------------------------------------------------------------
    Dr. Horrigan also urges policy makers to understand that a high 
percentage of ACP recipients are returning and intermittent users, 
writing for example ``Many low-income households have at one time had 
their Internet subscription lapse. Estimating just how many low-income 
households are likely to cycle on and off home connectivity in a given 
year is a crucial step in determining the overall benefit of the 
program.'' \47\
---------------------------------------------------------------------------
    \47\ https://www.benton.org/sites/default/files/ACP-Cost-
Benefit_0.pdf
---------------------------------------------------------------------------
    He then suggests that policymakers ask, ``How many more consistent 
broadband subscribers did ACP create?'' He answers that question by 
writing:

   Surveys conducted during the pandemic showed that 29 percent 
        of Internet users with annual incomes below $30,000 (or nearly 
        5 million households) lost service due to the economic 
        challenges the pandemic imposed upon them.

   That survey looked not just at those who lost service but 
        also at the past subscription patterns of those currently 
        lacking service. Some 31 percent of those without a home 
        wireline subscription had had service in the past.

   Another view of the comings-and-goings of connectivity comes 
        via data from surveys that ask people without service if they 
        had had a home subscription previously. The National 
        Telecommunications and Information Administration's (NTIA) 2021 
        Internet Use surveys found that 23.5 percent of households 
        without Internet subscriptions had household members who had 
        previously been home Internet users. ·

   If 30 percent of wireline ACP enrollees restore service they 
        once had, this comes to about 2.4 million ``returning user'' 
        households--30 percent of the 8 million wireline ACP enrollees 
        who are not new broadband households due to the benefit.\48\
---------------------------------------------------------------------------
    \48\ https://www.benton.org/sites/default/files/ACP-Cost-
Benefit_0.pdf
---------------------------------------------------------------------------
    In short, the 22 percent number is a snapshot in time that ignores 
critical data from both before and after the snapshot was taken.

    Question 5. Your written testimony cites a 2021 article from the 
American Economic Journal: Economic Policy. That study is not based on 
ACP but instead is based on information from a Comcast program from 
2012-2018.
    a. Given that private low-income plans like Internet Essentials and 
Spectrum Internet Assist were available in the majority of the country 
prior to ACP, doesn't that suggest that a $30 nationwide subsidy isn't 
universally necessary, and that ACP should be better tailored to 
account for local offerings and the presence of competition?
    Answer. I applaud private efforts to address low-income adoption, 
particularly Comcast's Internet Essentials, which is the oldest and 
most extensive program. To reiterate a point that I made in my answer 
to question 1b, Comcast started the program in 2011 and has continually 
studied and changed the program to improve its outcomes. That is the 
path the FCC and Congress should follow with the ACP.
    But the question ignores how the ACP, by focusing on improving the 
demand side of the equation, improved the supply side of low-income 
offerings. ACP caused the private sector to improve the quality of 
their offerings to lower income Americans--both in terms of the price 
actually paid by the consumer and the quality of the service--in 
response to greater aggregate demand from lower-income households.
    Moreover, I don't think that private efforts alone will solve the 
problem of universal broadband, in the same way that the admirable 
private efforts providing meals for the hungry would not eliminate the 
need for SNAP or the commendable charitable efforts related to 
healthcare would not eliminate the need for Medicaid.
    As to the dollar amount that the government subsidy should provide, 
I would hope that the FCC economists, who are capable of great work, 
would take the data from the EBB and ACP programs and provide an 
analysis to Congress about the two variables of the eligibility 
criteria and price point.\49\ I would further hope that the analysis 
would evaluate the trade-offs for different combinations.\50\ I would 
also hope that the FCC could evaluate and determine if there are 
various ways to lower the cost structure for providers and benefit from 
that in terms of lowering the price point and structure its programs 
and advise Congress accordingly.\51\
---------------------------------------------------------------------------
    \49\ Some have suggested a different variable of eligibility being 
based on not previously being on broadband. I would hope those 
advocating that position would acknowledge that the current law does 
not make that requirement. I would also hope they would have the 
decency to articulate how they think it would be administered. I think 
such a requirement would be an administrative nightmare for the ISPs 
and the recipients.
    \50\ On this point, the Committee might review Dr. Horrigan's 2021 
affordability study which supports the ``one size does not fit all'' 
finding on the price point, as different people in the same income 
bracket had very different views as to what they would be willing to 
pay to obtain a broadband service. https://static1.squarespace.com/
static/5aa8af1fc3c16a54bcbb0415/t/61ad77
22de56262d89e76c94/1638758180025/
EveryoneOn+Report+on+Affordability+%26+the+Digital+
Divide+2021.pdf
    \51\ In this regard, I might reference the current debate occurring 
at the FCC over ``bulk billing'' practices in which various parties are 
arguing that bulk billing enables lower prices while some are arguing 
the opposite. My point is not to weigh in on the merits of that debate 
but to suggest the debate appears to show evidence that there may be 
ways, through the aggregation of demand, to lower prices.
---------------------------------------------------------------------------
    As to tailoring the program for local offerings, I am not sure what 
the question is implying. But if it should be read to imply that we 
should have a different program for areas served by different ISPs, I 
would be opposed. I don't see why we would subsidize Comcast 
subscribers differently than Charter, AT&T or Verizon subscribers. I 
think such a program would be administratively chaotic and lead to 
problematic and inefficient incentives.
    As to focusing on competition, I support improved market-based 
competition. Indeed, we are seeing significant market-based efforts to 
upgrade copper networks to fiber that I believe will improve broadband 
prices and offerings for tens of millions of Americans.
    But no one should be under the illusion that the increased fiber 
competition to cable will result in entry level prices sufficient to 
result in low-income Americans increasing their levels of adoption. 
Noted telecom economist Dr. Scott Wallsten of the Technology Policy 
Institute analyzed the data relating to fiber-cable competition and in 
a 2021 paper demonstrated that additional cable-fiber competition does 
not bring the unconnected online.\52\
---------------------------------------------------------------------------
    \52\ https://techpolicyinstitute.org/wp-content/uploads/2021/05/
Does-Competition-Between-Cable-and-Fiber-Increase-Adoption.pdf.
---------------------------------------------------------------------------
    Again, as I said in my written and oral testimony, I am in complete 
agreement with the 20 House Republicans who wrote Speaker Johnson last 
month asking for action on ACP, saying ``We believe that bipartisan 
solutions are within reach to ensure uninterrupted access to the ACP 
while concurrently pursuing long-term funding strategies.'' That is, I 
would hope Congress would provide an ACP extension and then, as part of 
a larger and necessary Universal Service Fund reform effort, design a 
more efficient and sustainable program that moves us toward universal 
adoption.

    Question 6. Your written testimony cites several studies regarding 
telemedicine. Most of these studies are based on information that 
predates ACP, and none of the studies cite ACP as a benefit. 
Telemedicine may be a great benefit to Americans, but the studies cited 
indicate that it would have been a great benefit without ACP.
    a. What evidence exists that households, who were not previously 
purchasing Internet and are now doing so through ACP, have used the 
Internet to access telemedicine?
    Answer. First, the record shows that ACP recipients regard using 
access to broadband as critical to their healthcare. A recent study 
found that 75 percent of ACP participants fear that losing access to 
ACP will result in losing access to healthcare.\53\ This is consistent 
with another large-scale survey found that 45 percent of adults believe 
that inadequate access to technology, including broadband and 
computers, is a barrier to telehealth, and this was especially 
prominent among rural residents and adults over the age of 65.\54\ That 
is, ACP recipients and the public generally understand that today 
broadband access is critical to obtaining healthcare services.
---------------------------------------------------------------------------
    \53\ https://www.bsgco.com/acp-fact-sheet
    \54\ Bailey, V. (2021). Limited broadband poses a significant 
barrier to telehealth access. MHealthIntelligence. https://
mhealthintelligence.com/news/limited-broadband-poses-a-significant-
barrier-to-telehealth-access.
---------------------------------------------------------------------------
    Second, there are numerous media reports of ACP recipients using 
and depending on Internet access for healthcare.\55\ While I am aware 
that anecdotes are not the same as data, there should not be any doubt 
as to the impact of ACP on the use of telehealth.
---------------------------------------------------------------------------
    \55\ See, for example, https://kffhealthnews.org/news/article/
internet-subsidy-ending-affordable
-connectivity-program-telehealth/ or https://www.cnet.com/home/
internet/americans-are-facing-a-mental-health-crisis-losing-the-
internet-wont-help/
---------------------------------------------------------------------------
    Third, there is evidence that when lower income persons have 
broadband access, they tend to use it for healthcare more than the 
general population. For example, the Georgetown study noted above found 
that ``consumers who face greater financial constraints (e.g., those 
with high deductible healthcare plans or who delay healthcare to save 
money) are more likely to use eHealth. This finding suggests that 
eHealth provides a tool for altering and potentially improving consumer 
healthcare decision-making--especially for those who most acutely bear 
healthcare costs.'' \56\
---------------------------------------------------------------------------
    \56\ Macher, Jeffrey T., John W. Mayo and Olga Ukhaneva ``Does the 
Internet Improve Consumer Healthcare Behaviors, Georgetown University 
working paper, October 29, 2018.
---------------------------------------------------------------------------
    Fourth, while I agree with the comment that ``Telemedicine may be a 
great benefit to Americans, but the studies cited indicate that it 
would have been a great benefit without ACP,'' we should not be blind 
to the fact that the United States government, through Medicare, 
Medicaid, and the Veterans Administration, is the largest provider of 
health insurance in the country. If the general public and private 
insurers benefit from telehealth, then the government, as a provider of 
health insurance, would benefit as well, particularly given the overlap 
of those depending on ACP and those depending on Medicaid and Veterans 
Administration services.
    Fifth, the question implies that ACP recipients might regard the 
value of telehealth differently than other broadband subscribers. There 
is no evidence that this is true. To the contrary, there is evidence 
that among those connected, telehealth is quite popular. For example, a 
study showed that among patients who recently used telehealth, 73 
percent reported they would continue to use telehealth services in the 
future, while 41 percent reported they would have chosen telehealth 
over an in-person appointment, even if both required a co-pay.\57\ 
Again, there is no reason to believe that ACP recipients would view the 
benefits of telehealth differently.
---------------------------------------------------------------------------
    \57\ https://www.ama-assn.org/practice-management/digital/patients-
doctors-telehealth-here-s-what-should-come-next
---------------------------------------------------------------------------
    Sixth, with respect, I think the question ignores the wisdom, cited 
before, of skating to where the puck is going. Not only do we need ACP 
for telehealth, but we should also be looking for ways in which we can 
use telehealth for all Americans to improve outcomes and reduce costs. 
At the recent House hearing on telehealth cited above, the expert on 
telehealth correctly noted that ``Congress should focus on facilitating 
improved access to high-quality, integrated telehealth services by 
strengthening broadband access for disadvantaged and rural populations, 
establishing digital health literacy programs, conducting research to 
demonstrate the value of telehealth services (particularly hybrid 
telehealth modalities), and promoting payment models that increase 
adoption of well-integrated telehealth services focused on chronic 
disease management, longitudinal care, and service for disadvantaged 
populations.'' \58\
---------------------------------------------------------------------------
    \58\ https://democrats-energycommerce.house.gov/sites/evo-subsites/
democrats-energycommerce
.house.gov/files/evo-media-document/
Lee%20Schwamm_Witness%20Testimony_04.10.2024.pdf
---------------------------------------------------------------------------
    The bottom line is that we should think of ACP as an essential 
piece of the puzzle for addressing healthcare needs in our country in 
an effective and efficient manner. And we should not neglect the fact 
that we also must put together the entire puzzle.

    Question 7. Your written testimony states: ``But of course, if ACP 
goes away, those savings will also go away and to put a fine point on 
it, it is a mathematical certainty that there will be communities in, 
for example, Texas that instead of getting fiber will end up with fixed 
wireless or even satellite.''

    a. Please provide specific numbers and equations that support the 
``mathematical certainty'' portion of your statement.
    Answer. The key points to my answer are briefly summarized 
immediately below, with a more complete answer provided thereafter.

   The BEAD program does not fund the cost of deployment 
        broadband to an unserved or underserved area; rather it funds 
        the difference between the cost of deployment and what a 
        provider would be willing to invest to serve that area.

   ACP increases the revenue for any such area, those closing 
        the gap described above and decreasing the amount of BEAD 
        funding necessary for that specific area, making the funds 
        available for other areas.

   BCG found that ACP reduces the amount needed to incentivize 
        ISP investment by about 25 percent per location or $500.

   A conservative projection indicates that the number of 
        locations that will miss out on the opportunity to obtain fiber 
        due to the end of the ACP program will be at least 47,705, 
        though the actual number is likely to be larger.

    As I noted in my written testimony, the consulting group BCG found 
that ACP reduces the subsidy needed to incentivize providers to build 
in rural areas by 25 percent per household, writing ``the existence of 
ACP, which subsidizes subscriber service fees up to $360 per year, 
reduces the per-household subsidy required to incentive ISP investment 
by $500, generating benefit for the government and increasing the 
market attractiveness for new entrants and incumbent providers.'' \59\
---------------------------------------------------------------------------
    \59\ https://www.commonsensemedia.org/sites/default/files/research/
report/2022-cs-bcg-closing-digital-divide_final-release-3-for-web.pdf
---------------------------------------------------------------------------
    This makes sense from a capital markets perspective. After all, 
BEAD is not designed to fund 100 percent of the cost of any deployment. 
It will fund the difference between the cost of the deployment and what 
the private market would have paid to deploy a network to serve a 
designated geographic area. The greater the revenue, and hence likely 
profit, that the area would provide, the greater the private market's 
willingness to invest, reducing the amount of BEAD funding necessary 
for the specific project.\60\
---------------------------------------------------------------------------
    \60\ There may be areas where the revenue prospects are so low that 
there are no bidders willing to put in any of their own capital and 
BEAD does have to fund 100 percent of the capital costs. But those are 
likely to be relatively rare and are not important to the answer to 
this question.
---------------------------------------------------------------------------
    So, let's apply this to the situation in Texas, using numbers 
provided in a January 2024 report by Cartesian, a consulting group, and 
ACA, a trade association representing small cable providers.\61\
---------------------------------------------------------------------------
    \61\ The report can be found at https://www.cartesian.com/wp-
content/uploads/2023/02/Texas_BEAD_Funding_Cartesian_ 
ACA_Jan_2024_v4.0.pdf
---------------------------------------------------------------------------
    Texas, under the Infrastructure Bill's BEAD formula, will receive 
$3.3 billion, with an obligation to use the funds to connect all 
unserved locations and, if there are additional funds, to connect all 
underserved locations.
    Cartesian finds that Texas has 364,700 unserved locations and 
199,100 underserved locations. The current number is higher,\62\ but 
the FCC's RDOF and EACAM programs are currently set to serve 322,434 
unserved and underserved Texas locations.\63\ Thus, that leaves 
approximately 563,800 locations as the responsibility of BEAD funds.
---------------------------------------------------------------------------
    \62\ Slide 2.
    \63\ This number was provided to me from Mike Conlow, whose 
Substack on BEAD has been a valuable source of information for those 
involved in the BEAD process.
---------------------------------------------------------------------------
    Cartesian estimates that the ISPs bidding for BEAD funds will 
provide $1.6 billion for the projects,\64\ bringing the total to be 
utilized for the capital expenditures of deployment to $4.9 billion. 
That would average out to about $8,675 per location, though in reality 
there is a wide variation in the actual cost to serve different 
locations. Cartesian estimates that the average private sector 
contribution would be $2,903.\65\
---------------------------------------------------------------------------
    \64\ Slides 2 and 4.
    \65\ Slide 4. I am not sure how Cartesian arrived at that number. 
When I ran the numbers, I assumed the $1.6 billion in the private 
sector contribution, if distributed equally among the 563,800 unserved 
and underserved locations, would be $2,837. Cartesian likely weighed 
the unserved and underserved in a manner that is slightly more accurate 
so I will use their number for the average private sector contribution.
---------------------------------------------------------------------------
    However, it costs more than $8,675 to connect the average location 
to a fiber connection. Cartesian estimates that it will cost, on 
average, $12,399 to connect an unserved location to fiber and an 
average of $10,468 to connect an underserved location to fiber.\66\ 
Therefore the BEAD contribution necessary for unserved locations would 
need to be $9,562 \67\ and the BEAD contribution for underserved 
locations would need to be $7,631.\68\
---------------------------------------------------------------------------
    \66\ Slide 5.
    \67\ That number is derived by subtracting the average private 
sector contribution ($2,903) from the average cost of the connecting an 
unserved location ($12,399.)
    \68\ That number is derived by subtracting the average private 
sector contribution ($2,903) from the average cost of the connecting an 
undeserved location ($10,468.)
---------------------------------------------------------------------------
    Again, according to BCG, reduces the per-household subsidy required 
to incentive ISP investment by $500.\69\ Assuming the Cartesian study 
assumed a continuation of ACP,\70\ the BEAD contribution must be 
increased by $500, so the amount necessary for unserved locations would 
be $10,062,\71\ and the amount for underserved locations would be 
$8,131.\72\
---------------------------------------------------------------------------
    \69\ I could have also used the 25 percent factor but after 
consulting with the authors of the study, I decided to use the more 
conservative number.
    \70\ The Cartesian study does not discuss its assumption on ACP, 
but I contacted the co-authors at ACA who told me that while the study 
didn't directly address ACP in the cost modelling, one could argue that 
it assumes that ACP--or a successor program--remains in place.
    \71\ This number represents the sum of $9,562 plus $500.
    \72\ This number represents the sum of $7,631 plus $500.
---------------------------------------------------------------------------
    This then leaves us with four relevant numbers:

   The average BEAD subsidy with ACP needed for a fiber 
        connection to an unserved location at $9,562.

   The average BEAD subsidy without ACP needed for a fiber 
        connection to an unserved location at $10,062.

   The average BEAD subsidy with ACP needed for a fiber 
        connection to an underserved location at $7,631.

   The average BEAD subsidy without ACP needed for a fiber 
        connection to an underserved location at $8,131.

    There is an interesting question as to whether Texas will 
prioritize connecting the unserved or the underserved to fiber. The 
state will likely try to optimize for both, with some percentage of 
both being forced to rely on fixed wireless or satellite. While that 
optimization will affect the math, it will not affect the conclusion 
that thousands of locations that would have been connected to fiber if 
ACP were to continue would have to be connected to an alternative.
    For purposes of answering the question, let us assume that Texas 
will prioritize connecting all the unserved locations to fiber and use 
any remaining amount to connect as many underserved locations as 
possible to fiber. To connect all the unserved locations with fiber 
with ACP continuing would cost $3.487 billion.\73\ Subtracting that 
amount from the total available capital funds of $4.9 billion would 
leave $1.413 billion. Using that to connect unserved locations would 
enable Texas to connect 185,165 such locations, leaving only 13,935 
underserved locations unconnected with fiber.\74\
---------------------------------------------------------------------------
    \73\ That number is derived by multiplying the 364,700 unserved 
locations by $9,562.
    \74\ That number is derived by dividing the $1.413 billion by the 
average $7,631 for each underserved location.
---------------------------------------------------------------------------
    Now let's compare that to the result if ACP goes away. To connect 
all the unserved locations to fiber would cost $3.669 billion,\75\ 
leaving only $1.231 billion to connect underserved locations.\76\ That 
sum would only be enough to connect 151,395 underserved locations.\77\
---------------------------------------------------------------------------
    \75\ That amount is derived by multiplying the 364,000 unserved 
locations by $10,062.
    \76\ That number is derived by subtracting the amount necessary to 
connect all the unserved homes ($3.671 billion) from the total capital 
Cartesian projects will be available ($4.9 billion.)
    \77\ That number is derived by dividing the available $1.228 
billion by the average cost of connecting an underserved location to 
fiber of $8,136.
---------------------------------------------------------------------------
    In short, ACP going away would result in at least 47,705 
underserved locations not receiving fiber but being connected with 
another type of network, such as fixed wireless or satellite.\78\
---------------------------------------------------------------------------
    \78\ That number is derived by subtracting the number of 
underserved homes that can be reached by fiber under the scenario 
without ACP from the total number of underserved homes that could be 
connected to fiber if ACP were to continue (184,782 minus 33,779.)
---------------------------------------------------------------------------
    The actual number of underserved locations that will end up with 
wireless rather than fiber is likely to be materially larger. Under the 
terms of the BEAD program, Texas must connect all unserved and 
underserved locations. So, if ACP were to continue, the 13,935 
underserved locations would still have to be connected. The cost of 
those connections to either fixed wireless or satellite would then 
reduce further the number of locations who would obtain a fiber 
connection.
    As Cartesian does not estimate the cost for a fixed wireless 
connection, I did not do that math here of incorporating those costs, 
which would be necessary to connect all the remaining underserved 
locations.\79\ But whatever the cost of connecting 13,935 underserved 
locations to fixed wireless (or satellite), the cost of connecting 
47,705 underserved locations would be more than triple, meaning that 
even more underserved locations would be forced to settle for fixed 
wireless rather than fiber if ACP funding ends.
---------------------------------------------------------------------------
    \79\ The math is complicated as comparing fixed wired deployments 
to fixed wireless deployments do not yield an apples-to-apples cost 
comparison. Further, while fixed wireless is cheaper to deploy, it's 
operating costs are more expensive.
---------------------------------------------------------------------------
    Further, using the 25 percent figure would have resulted in a 
significantly higher number of homes that Texas would be forced to 
connect with fixed wireless or satellite.
    The bottom line is that while there can be some uncertainty about 
the number of homes that will lose out on fiber if ACP, there can be no 
uncertainty that tens of thousands of underserved Texas locations will 
be forced to connect with a wireless or satellite provider, instead of 
fiber, due to the end of the ACP program.

    b. The Wall Street Journal, in an article titled ``The $53,000 
Connection: The High Cost of High-Speed Internet for Everyone,'' 
reported that the government is financing fiber-line buildouts that are 
higher per location than the value of the home getting the hookup. Why 
would it be the case that expensive fiber buildout financed entirely by 
the government would need continued cash payments to run a low-
maintenance fiber line?
    Answer. The key points to my answer are briefly summarized 
immediately below, with a more complete answer provided thereafter.

   Congress should be interested in the question of whether 
        certain subsidies per location are beyond an acceptable limit, 
        something the National Broadband Plan and the recent NTIA 
        reauthorization addressed.

   In the most low-density areas of the country, there simply 
        aren't enough customers to generate enough revenue to pay for 
        the ongoing operating expenses.

   The shortfall in operating expenses is likely to only affect 
        about 2 percent of the locations in the U.S.

   That, however, has nothing to do with the ACP. ACP does not 
        change the cost to deploy; rather it changes the incentives to 
        deploy.

    As to the logic of financing fiber deployments that are more 
expensive than the value of the house the deployment is connecting, I 
offer two thoughts.
    First, the 2010 National Broadband Plan recommended a limit on the 
per-house subsidy for deployment, a recommendation I strongly supported 
and which the FCC subsequently adopted.\80\ That was aggressively 
opposed by rural telephone companies, although in practice the rather 
generous limit adopted by the FCC only impacted a very small number of 
companies.
---------------------------------------------------------------------------
    \80\ For a visual representation of the cost curve for currently 
unserved and underserved homes, see the Cartesian slide deck noted 
above at slide 3.
---------------------------------------------------------------------------
    Moreover, as the Wall Street Journal article you cite documents, 
the FCC subsidy dollars per location served ($1,753) is considerably 
lower than other Federal programs, such as the Department of 
Agriculture's Reconnect program (which averages $9,014 per 
location.)\81\ While there are differences in the program that make a 
simple dollar to dollar comparison misleading, the differences suggest 
that the Senate should follow the wisdom of the recent action by the 
House in passing an NTIA reauthorization that included a mandate to 
develop a digital divide strategy.\82\ Within that mandate, the House 
legislation would require NTIA's proposed strategy to support better 
management of Federal broadband programs to deliver on the goal of 
providing high-speed, affordable broadband Internet access service to 
all individuals in the United States; and synchronize interagency 
coordination among covered agencies for Federal broadband programs. I 
support the House's proposal and think it would be useful to address 
the problem you correctly raise. (I discuss the House's proposal 
further in answering part c below.)
---------------------------------------------------------------------------
    \81\ https://www.wsj.com/us-news/the-53-000-connection-the-high-
cost-of-high-speed-internet-for-everyone-c903163f
    \82\ https://www.congress.gov/bill/118th-congress/house-bill/4510
---------------------------------------------------------------------------
    Whatever I personally think today about limits on per location 
support mechanisms, however, is irrelevant as the BEAD program is now 
the primary mechanism for connecting unserved and underserved 
locations. That program does not have an ex-ante limit to the amount of 
capex that may be provided to connect locations. The program, however, 
wisely incorporates the concept of the ``Extremely High Cost Per 
Location Threshold.'' As described by telecommunications expert Carol 
Mattey, that concept involves ``a BEAD subsidy cost per location that 
determines when states may select a less expensive technology over 
fiber. Essentially, the threshold determines where awardees will be 
able to use fixed wireless and potentially other technologies. Setting 
the threshold lower reduces the opportunity for fiber applicants to 
automatically win over non-fiber applicants, which allows finite BEAD 
dollars to go further.'' \83\ That is, NTIA's administration of the 
BEAD program is addressing the concern you appropriately raise.
---------------------------------------------------------------------------
    \83\ https://www.benton.org/blog/setting-extremely-high-cost-
location-threshold-bead
---------------------------------------------------------------------------
    Second, I don't see what that issue of extremely high cost per 
location thresholds has to do with the ACP's impact on the incentives 
to deploy. ACP does not change the cost to deploy; rather it changes 
the incentives to deploy. Reasonable minds can differ on whether there 
should be a limit on public subsidies to deploy where private market 
incentives are not sufficient and if so, what that limit, if any, 
should be. On the other hand, it would be axiomatic to anyone who 
understands capital markets that continuing the ACP would reduce the 
capital gap between what the private sector would be willing to pay to 
deploy to an unserved or underserved area and what the cost of the 
deployment would be, as discussed in the answer to 7a, immediately 
above. In other words, as the BCG study and the mathematical 
explanation detailed above demonstrates, whatever is the government 
subsidy necessary to deploy to an unserved or underserved location, the 
ACP reduces that amount.\84\
---------------------------------------------------------------------------
    \84\ There is an interesting question, as government seeks to 
accomplish both deployment and adoption, as to what would be the right 
ratio of spending on each goal. I have not seen any studies that 
evaluate that question but if the government ever decides to again make 
new investments in deployment, I hope some evaluation of the right 
ratio is undertaken.
---------------------------------------------------------------------------
    As to the specific question of whether the ACP subsidy would affect 
the ongoing shortfalls in the operating expenses of an ISP deploying to 
an unserved or underserved area, a lot depends on the specific 
deployment. But policy makers should keep in mind that in the most low-
density areas of the country, there simply aren't enough customers to 
generate enough revenue to pay for the ongoing operating expenses. 
Maintenance expenses in this context is something of a red herring; the 
network operator in the most remote areas must pay backhaul to someone 
else to get the traffic to the nearest Internet exchange point. Those 
backhaul expenses are operating expenses, not capital expenses. Other 
operating expenses that are higher on a per customer basis include such 
things as customer care and repairs, as the economies of scale 
available in denser areas are lower in less dense areas.
    As to data related to how many locations would be affected, a good 
source is the 2017 FCC study on the costs of deploying fiber to 
locations lacking reliable service using fiber or cable, which at the 
time were estimated to be 14 percent of U.S. homes and business 
locations. The study found that for the vast majority of these 
locations (12 percent out of the 14 percent) the initial subsidy should 
be sufficient, noting that ``we do not expect these first 12 percent of 
locations will require material ongoing support once the network has 
been built, as subscriber revenues should be sufficient to pay for 
ongoing network costs.'' The study continued, however, that for the 
last 2 percent--representing the costliest locations making up the 
difference between 98 percent and 100 percent deployment across the 
nation--``there is not enough addressable revenue to cover ongoing 
costs, so--in addition to the initial capex--an annual subsidy of about 
$2b would be required to keep the networks operating.'' \85\
---------------------------------------------------------------------------
    \85\ https://docs.fcc.gov/public/attachments/DOC-343135A1.pdf
---------------------------------------------------------------------------
    In short, while it is correct that the operating costs for fiber 
are lower than for copper, there still are likely to be low-density 
areas where operating subsidies for the rural ISPs are necessary to 
maintain economic viability.

    c. Indeed, you are quoted in this same article as having said ``The 
problem is money is not infinite.'' Are you aware that the Biden 
administration has made it clear that it seeks to enroll 40 percent of 
Americans in ACP, which could cost American taxpayers $20 billion 
annually, just $5 billion less than the annual NASA budget?
    Answer. I stand by my observation that money is not infinite.
    I would also extend that observation to note that the statement is 
as true for the companies my equity research firm covers for 
institutional investors as it is for government.
    As to the cost of the ACP program, I also stand by my comment at 
the hearing and earlier in this document that while I favor an 
extension, I would hope that the FCC provides data to Congress so that 
Congress, in considering the costs and benefits of the different 
Universal Service Fund programs and the trade-offs inherent in 
different program designs, can design a more efficient and sustainable 
program that moves us toward universal adoption.
    As to the benefits and comparisons with NASA, I would just note 
that all of us can find programs and expenditures that we believe are 
not justified. For example, in 2023, the GAO found that the Federal 
government lost an estimated $247 billion in payment errors during the 
most recently completed Fiscal Year (FY 2022). According to the report, 
``these errors include overpayments or payments that should not have 
been made--for example, payments to deceased individuals or those no 
longer eligible for government programs.'' \86\ That is an amount more 
than 10 times larger than the amount spent on NASA. I am sure everyone 
in the Congress could come up with their own list of problematic 
expenditures that exceed NASA's budget.
---------------------------------------------------------------------------
    \86\ https://www.gao.gov/blog/federal-payment-errors-known-
improper-payments-are-continuing-concern
---------------------------------------------------------------------------
    But, with respect, that is not the right way to look at the issue. 
It is perfectly fair to ask whether our economy and society is 
achieving a benefit that is commensurate with the cost to the public. 
It is, however, confusing, rather than helpful, to compare one program 
to another without a reference to the benefits.
    What would be helpful is for the Senate to follow the wisdom of the 
House, which, as noted above, recently passed an NTIA reauthorization 
that included a mandate to develop a digital divide strategy.\87\ As 
further noted above, within that mandate, the House language would 
instruct NTIA to support better management of Federal broadband 
programs to deliver on the goal of providing high-speed, affordable 
broadband Internet access service to all individuals in the United 
States; and synchronize interagency coordination among covered agencies 
for Federal broadband programs.
---------------------------------------------------------------------------
    \87\ https://www.congress.gov/bill/118th-congress/house-bill/4510
---------------------------------------------------------------------------
    This is an admirable and important goal. As the GAO found in 2023, 
``Federal broadband efforts are fragmented and overlapping, with more 
than 133 funding programs administered by 15 agencies. Among these 
programs, 25 have broadband as their main purpose, and 13 of those 
programs overlap because they can each be used for the purpose of 
broadband deployment. Having numerous broadband programs can be helpful 
to address a multifaceted issue like broadband access, but this 
fragmentation and overlap can lead to the risk of duplicative support. 
However, determining whether program overlap results in duplicative 
support can be challenging.'' \88\ For purposes of evaluating the ACP, 
we should consider how to better coordinate and administer all Federal 
(and to extent practical, state and local) efforts to improve broadband 
access, adoption, and utilization, rather than comparing ACP to 
unrelated programs.
---------------------------------------------------------------------------
    \88\ https://www.gao.gov/products/gao-23-
106818#::text=What%20GAO%20Found,deployment
%20(see%20fig.). I might add that a report by the National Urban 
League, with which I assisted, made a similar point about the need to 
coordinate Federal broadband programs. https://nul.org/program/lewis-
latimer-plan
---------------------------------------------------------------------------
    As NTIA hopefully conducts its analysis and as Congress responds, I 
would again urge Congress to adopt the wisdom of skating to where the 
puck is going. Getting the unconnected or the intermittently 
sustainably has significant value to our economy and society. Whatever 
value it has today is likely to be increased as Artificial Intelligence 
and other technology trends accelerate the movement of the delivery of 
goods and services to online sources. I am in favor of continually 
studying and evaluating both the costs and the benefits. Simple 
comparisons to other programs, without any reference to the costs and 
benefits does not advance a thoughtful public policy debate.

    Question 8. Your written testimony states: ``Recent data 
demonstrates that just 32 percent of fourth graders read at or above a 
fourth-grade level.'' But your citation to nationsreportcard.gov 
provides data over several decades, all of which show that no more than 
40 percent of fourth graders in public schools in any year were at 
fourth-grade level.

    a. Are there problems with our education system that exist beyond 
ACP?
    Answer. I do not consider myself an expert in education but feel 
comfortable in opining that I am 100 percent confident that there are 
problems with our education system that exist beyond ACP.
    Further, again acknowledging my limited expertise in education, I 
feel comfortable opining that there is no single cause for 100 percent 
of our problems with our education system.
    I am also confident in opining that the lack of broadband in homes 
of children attending school will make the problems in our educational 
system worse, not better. The fact that the problem of reading scores 
pre-dates ACP does not make it less of a problem. Nor does it address 
the question of whether ACP can be helpful in addressing low reading 
scores, particularly as artificial intelligence develops personalized 
ways to assist young readers in overcoming specific decoding problems 
that serve as barriers to their learning to read.
    Again, I would urge Congress to skate where the puck is going, not 
where it is or where it was in the past.

    b. A recent report from the National Library of Medicine examines 
the harmful effects of too much screen time for children. Do you agree 
there are harmful effects of too much screen time?
    Answer. I am also not an expert on the impact of too much screen 
time for children but based on reading I have done, such as Dr. Haidt's 
recent book,\89\ I would agree that there is evidence that should cause 
parents and public policy officials to investigate and adopt 
appropriate policies. Indeed, I gave a speech that touched on the 
subject in February 2023, advocating for a more active role for 
government to both study, and depending on the outcome of the study, 
address those concerns.\90\
---------------------------------------------------------------------------
    \89\ https://jonathanhaidt.com/anxious-generation/. This should not 
be seen as an endorsement of the book or its conclusion. I simply cite 
it as a serious work addressing what I believe is likely to be a set of 
serious issues.
    \90\ https://www.benton.org/blog/talking-about-things-we-dont-talk-
about
---------------------------------------------------------------------------
    But I admit to being completely perplexed by the logic of the 
question in the context of the discussion of the ACP. The seems to 
imply that if any kind of screen time can be a problem, we should not 
seek to use the tools of technology that use screens in ways that 
improve a child's education.
    Of course, all technologies have negative consequences. Last year, 
40,990 Americans died in car related accidents \91\ but that is not an 
argument for banning cars. It is an argument for developing safety 
guidelines, such as requiring seat belts and having appropriate rules 
of the road to limit such fatalities.
---------------------------------------------------------------------------
    \91\ https://www.nhtsa.gov/press-releases/2022-traffic-deaths-2023-
early-estimates#::text=The%
20agency%20estimates%20that%2040%2C990,the%20second%20quarter%20of%20202
2. As the NHTSA notes, that number represents a decline over the 
previous year. The release goes on to discuss various policies designed 
to continue the trend toward lowering the number of fatalities.
---------------------------------------------------------------------------
    Certain drugs, that can save and improve lives, can also be used in 
ways that cause harm. But that is not an argument for banning medically 
approved drugs. It is an argument for developing procedures and 
safeguards for the distribution of such drugs.
    I could cite many similar examples relating to technology but let 
me focus on one perhaps closer to the point of the hearing and my 
testimony on ACP. Recently Florida adopted a law that bans children 
under 14 in the state from having social media accounts and requiring 
minors aged 14 and 15 to have parental consent to hold one.\92\ 
Similarly, Utah adopted a law that tries to address the harm by, among 
other things, requires social media companies to verify users' ages and 
implement age assurance systems to determine if account holders are 
minors and to disable certain features on accounts owned by Utah 
minors, including direct messages, sharing features, autopay, push 
notifications, and search engine indexing of account profiles.\93\ Ohio 
just enacted legislation that limits the use of cell phones in 
schools.\94\
---------------------------------------------------------------------------
    \92\ https://www.flgov.com/2024/03/25/governor-desantis-signs-
legislation-to-protect-children-and-uphold-parental-rights/
    \93\ https://governor.utah.gov/2023/03/23/gov-cox-signs-bills-
focused-on-social-media-in-utah/
    \94\ https://education.ohio.gov/Media/Ed-Connection/May-20-2024/
Governor-DeWine-signs-
bill-requiring-Ohio-
schools#::text=Last%20week%2C%20Ohio%20Governor%20Mike,phones%20
in520K%2D12%20schools.
---------------------------------------------------------------------------
    My point is not to endorse any specific legislation but to 
highlight that while these states, to their credit, are taking the 
concerns about screen time seriously and developing different 
solutions, they are, at the same time, recognizing that communications 
technology can play an important role in education. Indeed, those 
states spend hundreds of millions on technology related to education, 
suggesting a balanced approach to addressing both the opportunity and 
the potential problems screens can present for school children.\95\
---------------------------------------------------------------------------
    \95\ A more comprehensive answer to concerns about screen time and 
the relationship between those concerns and the educational potential 
of technology in the classroom can be found in a letter from The 
Schools, Health & Libraries Broadband (SHLB) Coalition, the American 
Library Association (ALA), and the Consortium for School Networking 
(CoSN) to the FCC relating to the E-Rate program. https://
assets.noviams.com/novi-file-uploads/shlbc/PDFs_and_Documents
/E-rate_and_ecf/SHLB-COSN-ALA_Response_to_Heritage_on_Hot_Spots-
FINAL.pdf
---------------------------------------------------------------------------
    And we should recognize the importance of in-home connectivity for 
students to be able to do their best in their educational pursuits.\96\ 
For example, even before the pandemic, numerous surveys and studies 
demonstrated that students without access to the Internet at home were 
at an educational disadvantage \97\ A different study using Census 
Bureau data estimated that individuals with greater access to a 
computer and the Internet at home spent 28 percent more hours learning 
than those without such access.\98\
---------------------------------------------------------------------------
    \96\ As a Brookings report from 2020 detailed (https://
www.brookings.edu/articles/realizing-the-promise-how-can-education-
technology-improve-learning-for-all/) educational technology has the 
potential to positively impact student outcomes, particularly in core 
reading and numeracy skills.
    \97\ See, e.g., Monica Anderson & Andrew Perrin, PEW RESEARCH 
CENTER, (Oct. 26, 2018), https://www.pewresearch.org/fact-tank/2018/10/
26/nearly-one-in-five-teens-cant-always-finish-their-homework-because-
of-the-digital-divide/ (finding that ``17 percent of teens say they are 
often or sometimes unable to complete homework assignments because they 
do not have reliable access to a computer or Internet connection'').
    \98\ Kolawole Ogundari, Student access to technology at home and 
learning hours during COVID-19 in the U.S, Educational Research for 
Policy and Practice (May 2023), https://www.ncbi.nlm.nih.gov/pmc/
articles/PMC10176282/pdf/10671_2023_Article_9342.pdf.
---------------------------------------------------------------------------
    In short, I believe the United States is capable of both using 
technology to improve educational outcomes for school children, while 
also protecting children from potential harms from the use of 
technology. I would hope that we could all agree with those goals and 
develop policies accordingly.

    Question 9. You cite a study based on an input-output model by 
Sprintson and Oughton.\99\
---------------------------------------------------------------------------
    \99\ 2-10-24 Unlinked. Sprintson, M. and Oughton, E.J. 2023. The 
contribution of U.S. broadband infrastructure subsidy and investment 
programs to GDP using input-output modeling (arxiv.org)

    a. Are you aware that the authors relied on an Input-Output model 
that is unrelated to ACP, and that uses no empirical evidence from ACP?
    Answer. Yes. As the authors make clear, they are using models ``to 
explore the potential macroeconomic impacts of broadband spending to 
Gross Domestic Product (GDP) and supply chain linkages.'' It is common 
for economic papers to use existing data to create models that estimate 
the likely outcome of various policies. Some prove to be more accurate 
than others, but we should acknowledge that in developing public 
policies, much as the private sector does in evaluating large capital 
allocations, we don't have the luxury of waiting for perfect data to 
evaluate the precise outcome. Hindsight can be 20/20 but it is also 
true that waiting can prove counterproductive.

    b. Are you aware that the authors relied on an Input-Output model 
that shows that any increased spending on the information sector would 
increase GDP disproportionately?
    Answer. This was brought to my attention at the hearing.

    c. In evaluating ACP, should the Committee rely on studies, such as 
Sprintson and Oughton, that offer no empirical evidence of the effects 
of ACP?
    Answer. I think that is a fair question and I appreciated some of 
the comments and questions at the hearing. I will say for myself that 
the questions made me more reluctant to cite the study in the future.
    But if I can add two other points, the problems with the Sprintson/
Oughton study should not be used to disregard the many other studies I 
cited, including the Horrigan study, the telehealth studies, the 
education studies, the job training and placement studies, and others. 
Many of them do not have specific data on ACP but that does not mean 
they should be disregarded in terms of projecting where the puck is 
going in terms of the impact of connectivity on the cost and outcomes 
of various healthcare, educational, job training and job placement 
services, among other services now online.
    Second, the question raises a good point about the need to dig 
deeper into the studies all sides in good faith bring to the debate.
    In that regard, I would note that one of the witnesses produced a 
study (the EPIC study) that concluded that ACP led to inflation in 
broadband services.\100\ In addressing your question of which studies 
Congress should rely on, I think the EPIC study demonstrates the very 
problem you raise. While I am not an economist, my over two decades of 
working with institutional investors in communications causes me to 
immediately see several material problems with the study.
---------------------------------------------------------------------------
    \100\ https://epicforamerica.org/publications/bidenomics-goes-
online-increasing-the-costs-of-high-speed-internet/
---------------------------------------------------------------------------
    First, it is empirically wrong. As a filing to the Committee from a 
conservative think tank, R Street, noted ``According to recent studies, 
the most popular broadband speed tier plan prices dropped by 18.1 
percent during ACP implementation.'' \101\ The letter further noted 
that ``recently-published research found that not only do Internet 
Service Providers (ISPs) pass cost savings on to their customers, but 
they also are `not inflating prices to appropriate government 
subsidies, and the ACP is successfully reducing the cost of Internet 
plans for eligible households.' '' \102\
---------------------------------------------------------------------------
    \101\ The letter cited Arthur Menko, 2023 Broadband Pricing Index 
Broadband Prices Continue to Decline, USTelecom https://ustelecom.org/
wp-content/uploads/2023/10/USTelecom-2023-BPI-Report-final.pdf (last 
visited Apr. 30, 2024).
    \102\ Here, the letter cited Schieberl, River and Ahmadi, Nikki, 
Measuring the Success of the Affordable Connectivity Program (July 31, 
2023) https://ssrn.com/abstract=458690 or https://dx.doi.org/10.2139/
ssrn.4528690
---------------------------------------------------------------------------
    The Bureau of Labor statistics offers data consistent with the R 
Street observation. Its Consumer Price Index for ``internet services 
and electronic information providers in U.S. city average, all urban 
customers, comparing January 2021 to January 2024,'' found that prices 
had dropped 7.8 percent, which compares quite favorably to another 
network business, electricity, for which prices rose 9 percent.\103\ 
The index for all prices in those three years show an increase of 17.9 
percent.\104\
---------------------------------------------------------------------------
    \103\ https://www.ncta.com/broadband-affordability. This does not 
include an adjustment for increases in speed, which would, if added, 
show a decrease of 80 percent. But for purposes of this analysis, we 
are using the standard BLS CPI data.
    \104\ https://www.bls.gov/opub/ted/2024/consumer-prices-up-3-1-
percent-from-january-2023-to-january-2024.htm. The data set provides 
the data for 22-23 (an increase of 6.4 percent) and 21-22 (an increase 
of 7.5 percent).
---------------------------------------------------------------------------
    Further, even the FCC Urban Rate Survey on which the EPIC study 
relies demonstrates exactly the opposite of what the EPIC model would 
predict. That survey concludes that prices for lower speed offers rose 
5.4 percent between 2020 and 2023, well below the general rate of 
inflation in those years. So, the price differences EPIC uses to make 
its claims took place in speed and price tiers not likely to be 
relevant for ACP-eligible households.\105\
---------------------------------------------------------------------------
    \105\ https://www.fcc.gov/economics-analytics/industry-analysis-
division/urban-rate-survey-
data-resources
---------------------------------------------------------------------------
    The key error made by the EPIC study errors is that it relies on 
pricing data that doesn't reflect the experiences of ACP subscribers. 
The FCC's Urban Rate Survey tells us the prices ISPs offer in the 
marketplace. It tells us nothing about what we want to know about ACP 
subscribers: what they pay for the services they subscribe to using the 
ACP benefit. In addition, the Urban Rate Survey data doesn't include 
mobile, but a significant portion of ACP enrollment is mobile (as 
discussed earlier). So EPIC is comparing the price of fixed to trends 
in a mixed fixed/mobile program. This raises significant questions 
about whether the resulting correlations are meaningless. In other 
words, the data that is the foundation of the EPIC study does not have 
a sufficiently clear link to the pricing relevant for ACP subscribers.
    Further, any analysis of price and ACP uptake needs to happen at 
``apples-to-apples'' levels of geographic granularity. The EPIC study 
does not do this. It aggregates ACP enrollment to the state level (when 
zip code level ACP enrollment data is available) and compares it to 
statewide ACP enrollment and statewide pricing data. That's like saying 
ACP enrollment rates in the Bronx somehow have something to do with 
prices of service offerings in Westchester County NY. As I believe any 
person working for ISPs on pricing strategy would tell you, they don't.
    Second, the EPIC study is theoretically wrong. Anyone who 
understands communications networks would incorporate into their 
analysis that communications networks are a shared resource for which 
the greater the number of customers using the network, the lower the 
per user cost structure for the provider. That is, the networks involve 
high capital expenditures but low incremental costs, so the greater the 
number of customers, the lower the per user cost. While we can argue 
about how many new customers ACP created or how many intermittent 
customers were kept on by virtue of the ACP, there should be no 
argument that the per user cost to the ISP would go down, not up, by 
virtue of the ACP. We can also argue about the competitive intensity of 
the broadband services market, but we should all agree that if there is 
a competitive dynamic and the cost structure per user goes down, the 
price should also go down. That understanding, however, is absent in 
the analysis of the EPIC study.
    Third, it is logically wrong. Think of it this way. There are two 
kinds of broadband customers; those relying on ACP and those who don't.
    As to the first group, whether they previously purchased broadband 
or not, ACP meant that as a practical matter, they were paying less for 
broadband. So as to that group, ACP is clearly deflationary.
    As to the second group, they would be unaffected by ACP. That is, 
they are not eligible to receive it. But as noted above, as the ACP 
lowers the cost structure for the ISPs, if anything, it should reduce 
prices. As further noted above, it is illogical to think that ACP 
enrollment rates in the Bronx somehow have something to do with prices 
of service offerings in Westchester County NY.
    Further, to believe that ACP would cause ISPs to increase prices 
for those who don't receive ACP requires the belief that the ISPs have 
been charging non-ACP recipients less than what would be the profit-
maximizing price. I do not mean this as any criticism of the ISPs, who 
are, and should be, profit maximizing enterprises. But having spent 
most of the last two plus decades advising institutional investors who 
invest in ISPs, I believe that my clients would be, at a minimum, 
highly skeptical of any study dependent on an assumption that the ISPs 
charged less than what they could to maximize profits.
    In addition, there are also a number of technical problems with the 
study. For example, the study's time-frame doesn't hold up, as it looks 
at price changes from 2021 to 2022. (It uses the 2023 FCC Urban Rate 
Survey which is 2022 data). That is probably not the right time-frame 
for an ACP analysis.\106\
---------------------------------------------------------------------------
    \106\ The EPIC study's methodology notes are too sparse for me to 
be certain but based on the limited citations the study does provide, 
it appears the study is comparing ACP enrollment rates from 2022 to 
2023 to FCC Urban Rate Survey data for 2021 to 2022 (i.e., the 2022 and 
2023 Urban Rate Survey datasets). As a result, its entire analysis may 
attribute 2022 trends in broadband prices to 2023 trends in ACP 
enrollment, which would be, to put it mildly, problematic. Again, while 
I am not an economist, I am fairly certain that future activities 
cannot be seen as causing actions in the past. Except, of course, in 
the Terminator movie series.
---------------------------------------------------------------------------
    Further, it ignores the predecessor program, the EBB.\107\ In 
addition, the study does not control for quality changes in broadband 
(e.g., higher speeds). Also, the Urban Rate Survey data on which the 
study relies doesn't consider promotions or bundles; it's basically the 
rack rate for broadband. As anyone who knows the industry understands, 
a significant number of subscribers pay an amount less than the rack 
rate.
---------------------------------------------------------------------------
    \107\ In this regard, there is also an interesting historical 
error. While the study notes the ACP predecessor, the Emergency 
Broadband Benefit (EBB), it does not incorporate the subsidy, 67 
percent larger than the ACP subsidy, into its model. If the study's 
model were correct, the EBB should have caused a greater level of 
inflation than the smaller ACP subsidy. Further, and curiously, the 
paper says the benefits were ``similar.'' I have never read a study in 
which an economist refers to a benefit 67 percent greater than another 
as ``similar.'' Again, while I am not an economist, I don't believe the 
numbers, in this context, are similar.
---------------------------------------------------------------------------
    So, your question about how to weigh various studies is 
appropriate. Again, I appreciate being directed to areas where one 
study I cited might have a deficiency. I would hope, however, that in 
fairness and in a good faith effort to develop policy that serves the 
public interest, even when we lack perfect information, that all sides 
consider the validity of studies they have cited.

    Question 10. Your written testimony noted various affiliations. 
Which companies that receive ACP have you or your employers received 
funding from since the program's inception?
    Answer. As noted in my testimony, my views are my personal views 
and do not represent any institution in which I am affiliated. In terms 
of employment, I am an equity analyst with New Street Research, a 
global equity research firm focused on telecommunications, tech, and 
media. All my work at New Street Research is paid for by institutional 
investors, none of whom receive any ACP funding. Over 96 percent of New 
Street Research revenues are from institutional investors. While 
checking to make sure I was correct in my assumption that none of New 
Street's compensation comes from entities receiving ACP funding, I 
discovered that New Street has done a consulting project for an entity 
that does receive ACP dollars. The project was not related to ACP, and 
I did not work on the project, nor was I aware of it. The project 
involved a sum that was approximately 0.11 percent of the firm's 
revenues.
    Let me also note that the question--perhaps unintentionally--
carries the subtle suggestion that the only enterprises that care about 
the ACP are the ones who have received funding from the program since 
the program's inception. While it is true that telecommunications 
providers support continuing the program, so do many organizations 
outside of telecommunications. For example--and in support of what I 
wrote in the several questions related to healthcare, the American 
Hospital Association wrote a letter to the several Senators in support 
of extending the ACP program.\108\ While they are not directly 
compensated through the ACP program, it wrote that ACP ``can support 
patients' access to certain services like telehealth visits, hospital 
at home, patient portals and electronic patient records, virtual 
scheduling, and remote patient monitoring--which are not possible 
without reliable internet.'' It further noted that the ACP is ``also 
critical in continuing efforts to reduce disparities and advance health 
equity by giving patients in rural and underserved areas the necessary 
resources to utilize various forms of telehealth, as well as other 
digital health services.'' Similarly, the United States Chamber of 
Commerce (along with many local Chambers of Commerce) endorsed the ACP 
extension, writing that the ``program's focus on Internet affordability 
serves as a critical tool to help connect all Americans, empower full 
participation in the 21st Century economy and broaden access to 
critical services such as education, healthcare and banking.'' \109\
---------------------------------------------------------------------------
    \108\ https://www.aha.org/2024-05-07-aha-letter-support-affordable-
connectivity-program-extension-act-2024.
    \109\ https://www.uschamber.com/technology/broadband/u-s-chamber-
comments-in-support-of-the-affordable-connectivity-program-extension-
act
---------------------------------------------------------------------------
    In short, no one should be under the impression that the only 
companies who benefit from the ACP are telecommunications providers. As 
my testimony and answers to these questions, I hope, make clear, at 
this point, everyone benefits from universal adoption of broadband.
    Let me close by again thanking the Committee for the opportunity to 
share my views on this important topic and thanking the Senator for the 
opportunity to answer specific questions that my initial testimony 
raised. I hope the answers are helpful in leading to an efficient and 
sustainable policy for enabling all to afford broadband on a continuing 
basis.
                                 ______
                                 
      Response to Written Question Submitted by Hon. Ted Cruz to 
                          Paul Winfree, Ph.D.
    Affordable Connectivity Program
    Question 1. During the hearing you cited a report by the National 
Review showing that companies treat the $30 ACP subsidy as the new 
price floor. Are there any other interesting conclusions from the 
report?
    Answer. The National Review used Internet archives to document how 
companies were offering low prices--as low as $10--for broadband 
services prior to the ACP. After ACP, these same offerings, or similar 
ones were offered at the ACP subsidy amount: $30.
    Quote from the February 15, 2024 National Review:

        A $30 subsidy for low-income households means AT&T could raise 
        prices by up to $20 per month, and low-income households would 
        still get Internet service at no cost to them. And sure enough, 
        the price now advertised on AT&T's website for a faster ``low-
        cost Internet service for eligible households'' is $30 per 
        month. (See this page from the Wayback Machine with the same 
        URL in 2021 advertising service for $10 per month.) In a 
        February 2022 press release, AT&T straightforwardly advertised 
        its new low-cost plans as being ``the best monthly rate 
        possible--$0'' with enrollment in the ACP. ``New `Access from 
        AT&T' Plan + New Federal Benefit = Free Internet,'' the release 
        was titled.

    It is also worth noting that many Internet companies are now 
advertising high-speed Internet plans for $30 per month or less with no 
fees or data caps, according to a May 31st White House statement.

                                  [all]